Proliance Surgeons Inc P S

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

601484763 Issued in WA

Legal business name

PROLIANCE SURGEONS INC P S

Doing business as

Proliance ProOrtho Orthopedics Sports, Joints and Spine

Practice address

12911 120TH Ave NE Ste H210
Kirkland, WA 98034-3065

Phone

(425) 823-4000

Fax

(425) 821-3550

NPI assigned

Jun 5, 2006

Last updated

Sep 11, 2026By 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

Cori M. Pleasant

Title

Del Cred and Enrollment Manager

Phone

(206) 838-2585

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 1

• Proliance ProOrtho Orthopedics Sports, Joints and Spine Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jamie R Antoine, MD

  • Orthopaedic Surgery Physician
  • Kirkland, WA
  • NPI 1114022969
  NPD
• Nicole Elizabeth Fung, PA-C

  • Physician Assistant
  • Puyallup, WA
  • NPI 1033863451

  Surgical

  NPD
• Jonathan Straffin Hall, M.D.

  • Orthopaedic Surgery Physician
  • Kirkland, WA
  • NPI 1548431158
  NPD
• Leslie Q. Horita, PA-C

  • Physician Assistant
  • Kirkland, WA
  • NPI 1114748126

  Surgical

  NPD
• Samuel S. Koo, MD, MPH

  • Orthopaedic Surgery Physician
  • Seattle, WA
  • NPI 1467626374
  NPD
• Kenneth C Lin, M.D.

  • Orthopaedic Surgery Physician
  • Monroe, WA
  • NPI 1033263256
  NPD
• Timothy D Locknane, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Kirkland, WA
  • NPI 1639224074
  NPD
• Sean Patrick Mackie, PA-C

  • Surgical Physician Assistant
  • Renton, WA
  • NPI 1912152265
  NPD
• Craig M McAllister, M.D.

  • Orthopaedic Surgery Physician
  • Edmonds, WA
  • NPI 1891754792
  NPD
• Raymond Moreno Jr., PA-C

  • Surgical Physician Assistant
  • Federal Way, WA
  • NPI 1407314735
  NPD
• James W Pritchett, MD

  • Orthopaedic Surgery Physician
  • Seattle, WA
  • NPI 1265421382
  NPD
• Patricia C Reppar, PA-C

  • Surgical Physician Assistant
  • Kirkland, WA
  • NPI 1720555345
  NPD

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789084800000",
    "number": "1669411617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12911 120TH AVE NE STE G10",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343048",
            "telephone_number": "206-823-4000",
            "fax_number": "206-821-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12911 120TH AVE NE STE H210",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343065",
            "telephone_number": "425-823-4000",
            "fax_number": "425-821-3550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12911 120th Ave NE Ste H120",
            "address_purpose": "LOCATION",
            "city": "Kirkland",
            "state": "WA",
            "postal_code": "980343062",
            "country_code": "US",
            "telephone_number": "425-823-4000",
            "fax_number": "425-821-3550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROLIANCE SURGEONS INC P S",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-05",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A",
        "authorized_official_last_name": "PLEASANT",
        "authorized_official_first_name": "CORI",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DEL CRED AND ENROLLMENT MANAGER",
        "authorized_official_telephone_number": "206-838-2585"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WA",
            "license": "601484763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA LABOR & INDUSTRIES",
            "identifier": "151292",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015791",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Proliance ProOrtho Orthopedics Sports, Joints and Spine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Proliance Surgeons Inc P S (Proliance Hand, Wrist and Elbow Physicians)
• Proliance Surgeons, Inc., P.S. (Proliance Eastside Physical Therapy)
• Proliance Surgeons, Inc., P.S. (Proliance Eastside MRI)
• Proliance Surgeons, Inc., P.S. (Evergreen Surgical Clinic)
• Proliance Surgeons, Inc., P.S. (Proliance Eastside ENT)
• Proliance Surgeons, Inc., P.S. (Proliance Eastside Surgery Center)

• Orthopaedic Surgery Physician in Kirkland, WA
• Providers in Kirkland, 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 Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.