Proliance Surgeons, Inc., P.S.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

PROLIANCE SURGEONS, INC., P.S.

Doing business as

Bellevue Ear Nose and Throat - Woodinville

Practice address

17000 140TH Ave NE
Suite 205
Woodinville, WA 98072-6928

Phone

(425) 454-3938

Fax

(425) 454-2568

NPI assigned

Feb 22, 2008

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) 264-8100

Specialties & licenses 1

Addresses

Other names 1

• Bellevue Ear Nose and Throat - Woodinville Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Tax ID family

Orthopedic Physicians46 organizations share this tax ID, including this one

Other organizations with this tax ID 45

Organizations that report the same tax identification number in the National Provider Directory.

• Proliance Surgeons Inc P S

  • Orthopaedic Surgery Physician
  • Issaquah, WA
  • NPI 1124500293
  NPD tax ID
• Proliance Surgeons Inc P S

  • Multi-Specialty Clinic/Center
  • Redmond, WA
  • NPI 1184106262
  NPD tax ID
• Proliance Surgeons Inc P S

  • Durable Medical Equipment & Medical Supplies
  • Bellevue, WA
  • NPI 1184446742
  NPD tax ID
• Proliance Surgeons Inc P S

  • Orthopaedic Surgery Physician
  • Renton, WA
  • NPI 1235091463
  NPD tax ID
• Proliance Surgeons Inc P S

  • Durable Medical Equipment & Medical Supplies
  • Tacoma, WA
  • NPI 1235741414
  NPD tax ID
• Proliance Surgeons Inc P S

  • Physical Therapist
  • Maple Valley, WA
  • NPI 1720915655
  NPD tax ID
• Proliance Surgeons Inc P S

  • Durable Medical Equipment & Medical Supplies
  • Seattle, WA
  • NPI 1720969710
  NPD tax ID
• Proliance Surgeons Inc P S

  • Orthopaedic Hand Surgery Physician
  • Bellevue, WA
  • NPI 1831492537
  NPD tax ID
• Proliance Surgeons Inc P S

  • Physical Therapist
  • Renton, WA
  • NPI 1922935857
  NPD tax ID
• Proliance Surgeons Inc P S

  • Durable Medical Equipment & Medical Supplies
  • Bonney Lake, WA
  • NPI 1932023249
  NPD tax ID
• Proliance Surgeons Inc P S

  • Orthopaedic Surgery Physician
  • Covington, WA
  • NPI 1932262904
  NPD tax ID
• Proliance Surgeons Inc P S

  • Urgent Care Clinic/Center
  • Tukwila, WA
  • NPI 1972073799
  NPD tax ID

Locations

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1487823597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 116TH AVE NE",
            "address_2": "SUITE 500",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980044623",
            "telephone_number": "425-454-3938",
            "fax_number": "425-454-2568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17000 140TH AVE NE",
            "address_2": "SUITE 205",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980726928",
            "telephone_number": "425-454-3938",
            "fax_number": "425-454-2568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROLIANCE SURGEONS, INC., P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2008-02-22",
        "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": "206-264-8100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellevue Ear Nose and Throat - Woodinville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Otolaryngology Physician in Woodinville, WA
• Providers in Woodinville, WA by specialty
• Otolaryngology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; 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.