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PROLIANCE SURGEONS INC. P.S. NPI 1891799490


NPI Information

NPI: 1891799490
Provider Name: PROLIANCE SURGEONS, INC., P.S.

Doing Business As: PROLIANCE PUGET SOUND ORTHOPAEDICS

Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
7308 BRIDGEPORT WAY W STE 201
LAKEWOOD, WA
ZIP 98499
Phone: (253) 582-7257
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PROLIANCE SURGEONS, INC., P.S. is an orthopaedic surgery in Lakewood, 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 1891799490. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Proliance Puget Sound Orthopaedics.

The provider's business location address is:

7308 BRIDGEPORT WAY W STE 201
LAKEWOOD, WA
ZIP 98499-000
Phone: (253) 582-7257
Fax: (253) 582-1617

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 6/10/2005 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
1207XS0106XOrthopaedic SurgeryHand SurgeryNo
2207XS0114XOrthopaedic SurgeryAdult Reconstructive Orthopaedic SurgeryNo
3207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineNo
4207XX0004XOrthopaedic SurgeryFoot and Ankle SurgeryNo
5207XX0005XOrthopaedic SurgerySports MedicineNo
6261QM1200XClinic/CenterMagnetic Resonance Imaging (MRI)No
7261QM1300XClinic/CenterMulti-SpecialtyNo
8332B00000XDurable Medical Equipment & Medical SuppliesNo
9363AS0400XPhysician AssistantSurgicalNo
10207X00000XOrthopaedic SurgeryYes

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
11046089MEDICAIDWASHINGTON
2222246OTHERWASHINGTONWA L&I

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

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