PROLIANCE SURGEONS INC. P.S. NPI 1790724862

NPI Information

  • NPI: 1790724862
  • Provider Name: PROLIANCE SURGEONS, INC., P.S.
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: PROLIANCE EASTSIDE SURGERY CENTER
  • CLIA Number: 50D1010072
  • Address: 12911 120TH AVE NE STE H110
    KIRKLAND, WA
    ZIP 98034
  • Phone: (425) 216-7000

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NPI Details

PROLIANCE SURGEONS, INC., P.S. is an ambulatory surgical clinic center in Kirkland, WA. PROLIANCE SURGEONS, INC., P.S. NPI is 1790724862. The provider is registered as an organization entity type.
The provider Is Doing Business As Proliance Eastside Surgery Center.

The provider's business location address is:

12911 120TH AVE NE STE H110
KIRKLAND, WA
ZIP 98034-061
Phone: (425) 216-7000
Fax: (425) 216-7019

The provider's authorized official is Laura Kleisle .
The authorized official title is Chief Risk Officer and has the following contact phone number (206) 838-2590.

The CLIA number assigned to this NPI record is 50D1010072 - 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)
  • Partial removal of spine bone with release of lower spinal cord or nerves and/or removal of disc (HCPCS:63030)
  • Repair of tendon, finger, and/or palm of hand (HCPCS:26145)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • Release of wrist ligament using an endoscope (HCPCS:29848)
  • Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
  • Correction of toe joint deformity (HCPCS:28285)
  • Removal of growth of tendon finger or hand (HCPCS:26160)
  • Removal of knee cartilage using an endoscope (HCPCS:29881)
  • Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment (HCPCS:63047)
  • Release of tendon connecting biceps muscle and shoulder using an endoscope (HCPCS:29828)
  • Removal of deep implant from bone (HCPCS:20680)
  • Relocation of tendon of forearm and/or wrist (HCPCS:25310)
  • Removal of bone joints between wrist and fingers (HCPCS:25447)
  • Removal of growth of muscle of hand or finger, less than 1.5 cm (HCPCS:26116)
  • Removal of connective tissue of palm and release of finger, first digit (HCPCS:26123)
  • Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)
  • Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing device (HCPCS:25609)

The enumeration date for this NPI number is 6/5/2006 and was last updated on 5/28/2021.

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
1173398OTHERWA LABOR & INDUSTRIES
21045664MEDICAIDWASHINGTON

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: 3/30/2025

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