PROLIANCE SURGEONS INC. P.S. NPI 1467883116

NPI Information

NPI: 1467883116
Provider Name: PROLIANCE SURGEONS, INC., P.S.

Doing Business As: PROLIANCE SURGEONS SKAGIT NORTHWEST PHYSICAL THERAPY

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
1017 20TH ST
ANACORTES, WA
ZIP 98221
Phone: (360) 424-7041
Get Directions

PROLIANCE SURGEONS, INC., P.S. is a multi-specialty clinic center in Anacortes, WA. PROLIANCE SURGEONS, INC., P.S. NPI is 1467883116. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Proliance Surgeons Skagit Northwest Physical Therapy.

The provider's business location address is:

1017 20TH ST
ANACORTES, WA
ZIP 98221-505
Phone: (360) 424-7041
Fax: (604) 242-4183

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 12/6/2013 and was last updated on 8/25/2022.

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	207X00000X	Orthopaedic Surgery		601484763	WASHINGTON	No
2	208100000X	Physical Medicine & Rehabilitation		601484763	WASHINGTON	No
3	213ES0103X	Podiatrist	Foot & Ankle Surgery	601484763	WASHINGTON	No
4	225100000X	Physical Therapist		601484763	WASHINGTON	No
5	225X00000X	Occupational Therapist		601484763	WASHINGTON	No
6	332B00000X	Durable Medical Equipment & Medical Supplies				No
7	363AS0400X	Physician Assistant	Surgical	601484763	WASHINGTON	No
8	261QM1300X	Clinic/Center	Multi-Specialty			Yes

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
1	1042545	MEDICAID	WASHINGTON
2	0532700032	OTHER	WASHINGTON	DME
3	121724	OTHER	WASHINGTON	WA 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: 5/5/2024

NPI Synchronization or Removal

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