PROLIANCE SURGEONS INC. P.S. NPI 1073540894

NPI Information

  • NPI: 1073540894
  • Provider Name: PROLIANCE SURGEONS INC., P.S.
  • Classification: Surgery - 208600000X
  • Entity Type: Organization
  • Doing Business As: PROLIANCE SURGICAL SPECIALISTS OF EDMONDS
  • Address: 7320 216TH ST SW STE 20
    EDMONDS, WA
    ZIP 98026
  • Phone: (425) 778-8116

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NPI Details

PROLIANCE SURGEONS INC., P.S. is a surgery in Edmonds, WA. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. PROLIANCE SURGEONS INC., P.S. NPI is 1073540894. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Proliance Surgical Specialists Of Edmonds.

The provider's business location address is:

7320 216TH ST SW STE 20
EDMONDS, WA
ZIP 98026-006
Phone: (425) 778-8116
Fax: (425) 775-9526

The provider's authorized official is Cori M. Pleasant .
The authorized official title is Mgr Provider Relations & Enrollment and has the following contact phone number (206) 838-2585.

The enumeration date for this NPI number is 6/27/2006 and was last updated on 6/21/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12082S0099XPlastic SurgeryPlastic Surgery Within the Head and NeckNo
2208600000XSurgery601484763WASHINGTONNo
3208600000XSurgeryYes
4208C00000XColon & Rectal SurgeryNo
5261QM1300XClinic/CenterMulti-SpecialtyNo
6363AS0400XPhysician AssistantSurgicalNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1156966OTHERWASHINGTONWA LABOR & INDUSTRIES
21042735MEDICAIDWASHINGTON
3700164800OTHERWASHINGTONOWCP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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