PROLIANCE SURGEONS INC. P.S NPI 1659871622

NPI Information

NPI: 1659871622
Provider Name: PROLIANCE SURGEONS, INC., P.S

Doing Business As: PROLIANCE SURGEONS ANKLE AND FOOT OF EDMONDS

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
7320 216TH ST SW STE 320B
EDMONDS, WA
ZIP 98026
Phone: (425) 775-6996
Get Directions

PROLIANCE SURGEONS, INC., P.S is a foot and ankle surgery podiatrist in Edmonds, WA. PROLIANCE SURGEONS, INC., P.S NPI is 1659871622. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Proliance Surgeons Ankle And Foot Of Edmonds.

The provider's business location address is:

7320 216TH ST SW STE 320B
EDMONDS, WA
ZIP 98026-006
Phone: (425) 775-6996
Fax: (425) 670-8905

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 2/16/2018 and was last updated on 8/18/2022.

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	213E00000X	Podiatrist				No
2	213ES0103X	Podiatrist	Foot & Ankle Surgery	601484763	WASHINGTON	No
3	213ES0103X	Podiatrist	Foot & Ankle Surgery			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	49391	OTHER	WASHINGTON	WA LABOR & INDUSTRIES
2	1043983	MEDICAID	WASHINGTON
3	0532700039	OTHER	WASHINGTON	NSC DME

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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