Proliance Surgeons Inc P S

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

601484763 Issued in WA

Legal business name

PROLIANCE SURGEONS INC P S

Doing business as

Cedar Surgical

Practice address

3124 South 19TH St.
Suite 220
Tacoma, WA 98405-2433

Phone

(253) 301-5050

Fax

(253) 301-5070

NPI assigned

Jun 6, 2006

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

• Cedar Surgical Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leaza M. Dierwechter, M.D.

  • Surgery Physician
  • Tacoma, WA
  • NPI 1598734592
  NPD (past)
• James J Schopp, M.D.

  • Surgery Physician
  • Tacoma, WA
  • NPI 1598725384
  NPD (past)
• Bobby Anthony Stevens, D.O.

  • Surgery Physician
  • Tacoma, WA
  • NPI 1750582235
  NPD (past)
• Virginia A Stowell, M.D.

  • Surgery Physician
  • Tacoma, WA
  • NPI 1679532980
  NPD (past)
• William Michael Johnson, M.D.

  • Surgery Physician
  • McMinnville, OR
  • NPI 1750350971
  NPD (past)
• Christopher A. Jordan, M.D.

  • Surgery Physician
  • Lihue, HI
  • NPI 1851496012
  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320105600000",
    "number": "1164461018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 MADISON ST.",
            "address_2": "SUITE 901",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041172",
            "telephone_number": "206-264-8100",
            "fax_number": "206-264-8689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3124 SOUTH 19TH ST.",
            "address_2": "SUITE 220",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052433",
            "telephone_number": "253-301-5050",
            "fax_number": "253-301-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROLIANCE SURGEONS INC P S",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2011-11-01",
        "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": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "WA",
            "license": "601484763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Surgical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Progressive Gynecology PLLC
• Progressive Therapy and Counseling
• Progressive Wellness Network, Inc.
• Margaret Elena Huberty Prokosch
• Daniel Prokowich, AGACNP-BC
• Proliance Surgeons Inc P S (Proliance Puget Sound Orthopaedics)
• Proliance Surgeons, Inc., P.S. (The Eye Surgeons Group Ambulatory Surgery Center)
• Proliance Surgeons, Inc., P.S. (Puget Sound Imaging MRI)
• Proliance Surgeons, Inc., P.S. (The Eye Surgeons Group)
• Prompt Adult Family Home &Rehabilitative Care LLC

• Surgery Physician in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; 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.