Proliance Surgeons Inc., P.S.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

PROLIANCE SURGEONS INC., P.S.

Doing business as

Northwest Orthopaedic Physicians

Practice address

1135 116TH Ave NE
Suite 510
Bellevue, WA 98004-4623

Phone

(425) 455-3600

Fax

(425) 455-3920

NPI assigned

Jun 5, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. David G. Fitzgerald

Title

Ceo

Phone

(206) 838-2599

Specialties & licenses 1

Addresses

Other names 1

• Northwest Orthopaedic Physicians Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043259096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 OLIVE WAY",
            "address_2": "SUITE 1505",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011878",
            "telephone_number": "206-838-2590",
            "fax_number": "206-264-8689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 116TH AVE NE",
            "address_2": "SUITE 510",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980044623",
            "telephone_number": "425-455-3600",
            "fax_number": "425-455-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROLIANCE SURGEONS INC., P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "206-838-2599",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Orthopaedic Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Milana Prokopenko, LMHCA
• Proliance Surgeons Inc P S (Proliance Sports Therapy and Rehab of Issaquah-Bellevue Commons)
• Proliance Surgeons Inc P S (Proliance Orthopaedics and Sports Medicine)
• Proliance Surgeons Inc P S (Proliance Hand Wrist and Elbow Physicians)
• Proliance Surgeons Inc PS (Proliance Hand Wrist and Elbow Physicians)
• Proliance Surgeons, Inc., P.S. (Proliance Sports Therapy and Rehab of Bellevue)
• Proliance Surgeons, Inc., P.S. (Bellevue Orthopaedic Associates)
• Proliance Surgeons, Inc., P.S. (Proliance Surgeons Bellevue Ear Nose and Throat and Sound Hearing)
• Proliance Surgeons, Inc., P.S. (Proliance Eastside Surgical Specialists)
• Proliance Surgeons, Inc., P.S. (The Retina Surgery Center)

• Orthopaedic Surgery Physician in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Orthopaedic Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.