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PROLIANCE SURGEONS INC. P.S. NPI 1255736971


NPI Information

NPI: 1255736971
Provider Name: PROLIANCE SURGEONS, INC., P.S.

Doing Business As: PUYALLUP SURGICAL CONSULTANTS

Classification: Surgery - 208600000X
Entity Type: Organization
Address:
1519 3RD ST SE STE 210
PUYALLUP, WA
ZIP 98372
Phone: (253) 840-4994
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PROLIANCE SURGEONS, INC., P.S. is a surgery in Puyallup, 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 1255736971. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Puyallup Surgical Consultants.

The provider's business location address is:

1519 3RD ST SE STE 210
PUYALLUP, WA
ZIP 98372-742
Phone: (253) 840-4994
Fax: (253) 770-1105

The provider's authorized official is Laura Kleisle .
The authorized official title is Chief Risk Officer and has the following contact phone number (206) 838-2590.

The enumeration date for this NPI number is 10/23/2014 and was last updated on 8/30/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086X0206XSurgerySurgical Oncology601484763WASHINGTONNo
2208800000XUrology601484763WASHINGTONNo
3208C00000XColon & Rectal Surgery601484763WASHINGTONNo
4332B00000XDurable Medical Equipment & Medical SuppliesNo
5208600000XSurgery601484763WASHINGTONYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12042632MEDICAIDWASHINGTON
2338355OTHERWASHINGTONWA LABOR & INDUSTRIES

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.