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PROLIANCE SURGEONS INC. P.S. NPI 1023051489


NPI Information

NPI: 1023051489
Provider Name: PROLIANCE SURGEONS, INC., P.S.

Doing Business As: PROLIANCE SURGEONS SKAGIT NORTHWEST PHYSICAL THERAPY

Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization

CLIA Number: 50D1091792

Address:
1401 S LAVENTURE RD
MOUNT VERNON, WA
ZIP 98274
Phone: (360) 424-2400
Get Directions

PROLIANCE SURGEONS, INC., P.S. is an orthopaedic surgery in Mount Vernon, WA. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. PROLIANCE SURGEONS, INC., P.S. NPI is 1023051489. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Proliance Surgeons Skagit Northwest Physical Therapy.

The provider's business location address is:

1401 S LAVENTURE RD
MOUNT VERNON, WA
ZIP 98274-033
Phone: (360) 424-2400
Fax: (360) 424-2418

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 CLIA number assigned to this NPI record is 50D1091792 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/14/2006 and was last updated on 8/23/2022.


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
1208100000XPhysical Medicine & Rehabilitation601484763WASHINGTONNo
2213E00000XPodiatrist601484763WASHINGTONNo
3225100000XPhysical Therapist601484763WASHINGTONNo
4261QM1200XClinic/CenterMagnetic Resonance Imaging (MRI)No
5261QM1300XClinic/CenterMulti-SpecialtyNo
6332B00000XDurable Medical Equipment & Medical SuppliesNo
7207X00000XOrthopaedic Surgery601484763WASHINGTONYes

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
11042545MEDICAIDWASHINGTON
205327-00015OTHERWASHINGTONDME
3121724OTHERWASHINGTONWA 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

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.