PROLIANCE SURGEONS INC. P.S. NPI 1215368717

NPI Information

NPI: 1215368717
Provider Name: PROLIANCE SURGEONS, INC., P.S.
Classification: Otolaryngology - 207YX0905X
Specialization: Otolaryngology/Facial Plastic Surgery
Entity Type: Organization
Doing Business As: CASCADE EAR NOSE AND THROAT
Address: 111 S 13TH ST
MOUNT VERNON, WA
ZIP 98274
Phone: (360) 336-2178

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NPI Details

PROLIANCE SURGEONS, INC., P.S. is an otolaryngology/facial plastic surgery otolaryngology in Mount Vernon, WA. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. PROLIANCE SURGEONS, INC., P.S. NPI is 1215368717. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Cascade Ear Nose And Throat.

The provider's business location address is:

111 S 13TH ST
MOUNT VERNON, WA
ZIP 98274-105
Phone: (360) 336-2178
Fax: (360) 336-2642

The provider's authorized official is David G. Fitzgerald .
The authorized official title is Ceo and has the following contact phone number (206) 838-2599.

The enumeration date for this NPI number is 12/9/2013 and was last updated on 12/11/2013.

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
1	207YX0602X	Otolaryngology	Otolaryngic Allergy	601484763	WASHINGTON	No
2	207Y00000X	Otolaryngology		601484763	WASHINGTON	No
3	207YS0123X	Otolaryngology	Facial Plastic Surgery	601484763	WASHINGTON	No
4	207YX0007X	Otolaryngology	Plastic Surgery within the Head & Neck	601484763	WASHINGTON	No
5	208600000X	Surgery		601484763	WASHINGTON	No
6	208200000X	Plastic Surgery		601484763	WASHINGTON	No
7	2082S0099X	Plastic Surgery	Plastic Surgery Within the Head and Neck	601484763	WASHINGTON	No
8	2086S0122X	Surgery	Plastic and Reconstructive Surgery	601484763	WASHINGTON	No
9	2086X0206X	Surgery	Surgical Oncology	601484763	WASHINGTON	No
10	231H00000X	Audiologist		601484763	WASHINGTON	No
11	237600000X	Audiologist-Hearing Aid Fitter		601484763	WASHINGTON	No
12	207YX0905X	Otolaryngology	Otolaryngology/Facial Plastic Surgery	601484763	WASHINGTON	Yes

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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