PROLIANCE SURGEONS INC P S NPI 1972565745

NPI Information

  • NPI: 1972565745
  • Provider Name: PROLIANCE SURGEONS INC P S
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: PROLIANCE SURGERY CENTER AT RAINIER
  • CLIA Number: 50D2032742
  • Address: 3801 5TH ST SE STE 210
    PUYALLUP, WA
    ZIP 98374
  • Phone: (253) 445-4285

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NPI Details

PROLIANCE SURGEONS INC P S is an ambulatory surgical clinic center in Puyallup, WA. PROLIANCE SURGEONS INC P S NPI is 1972565745. The provider is registered as an organization entity type.
The provider Is Doing Business As Proliance Surgery Center At Rainier.

The provider's business location address is:

3801 5TH ST SE STE 210
PUYALLUP, WA
ZIP 98374-106
Phone: (253) 445-4285
Fax: (253) 435-4783

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

The CLIA number assigned to this NPI record is 50D2032742 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, bupivacaine liposome, 1 mg (HCPCS:C9290)
  • Aspiration and/or injection of fluid large joint using ultrasound guidance (HCPCS:20611)
  • Release and/or relocation of hand nerve (HCPCS:64721)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • Incision of tendon covering of finger (HCPCS:26055)
  • Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Aspiration and/or injection of fluid from medium joint using ultrasound guidance (HCPCS:20606)
  • Removal of growth of tendon finger or hand (HCPCS:26160)
  • Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)
  • Removal of both knee cartilages using an endoscope (HCPCS:29880)

The enumeration date for this NPI number is 4/5/2006 and was last updated on 10/23/2024.

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
1261QA1903XClinic/CenterAmbulatory Surgical601484763WASHINGTONYes

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
1219719OTHERWASHINGTONWA L&I
21060684MEDICAIDWASHINGTON

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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