Active NPI
Proliance Surgeons, Inc., P.S.
- Orthopaedic Surgery Physician
- Everett, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- PROLIANCE SURGEONS, INC., P.S.
- Practice address
- 1100 Pacific Ave Ste 300
Everett, WA 98201-4261 - Phone
- (425) 339-2433
- Fax
- (425) 339-8273
- NPI assigned
- Jun 5, 2006
- Organization subpart
- No
NPPES NPI Registry
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 & Enrollment Manager
- Phone
- (206) 838-2585
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary | ||
| Orthopaedic Hand Surgery Physician | 207XS0106X | |||
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Surgical Physician Assistant | 363AS0400X |
Addresses
Primary practice location
1100 Pacific Ave Ste 300
Everett, WA 98201-4261
Mailing address
1100 Pacific Ave Ste 300
Everett, WA 98201-4261
Phone (425) 339-2433
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123308 | Other | WA | WA LABOR & INDUSTRIES |
| 2012655 | Medicaid | WA |
Other names 1
- Proliance Surgeons Everett Bone and Joint
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031119000128 | WA | Part B Supplier - Clinic/Group Practice | 8527972900 |
Receives reassigned benefits from 781 practitioners This NPI is an additional NPI on the enrollment |
| O20101130000014 | WA | DME Supplier - Physician - Orthopedic/Orthopedic Surgery | 8527972900 | Practice locations: Everett, WA |
National Provider Directory
National Provider DirectoryLocations
1200 112th Ave NE
Ste C260
Bellevue, WA 98004
Phone (425) 313-3055
215 E George Hopper Rd
Burlington, WA 98233
190 W Dayton St
Ste 202
Edmonds, WA 98020
Phone (425) 252-4700
1100 Pacific Ave
Ste 140
Everett, WA 98201
1100 Pacific Ave
Ste 100
Everett, WA 98201
Phone (206) 244-1212
1724 West Union Ave
#B100
Tacoma, WA 98405
Practitioners & affiliated clinicians
Practitioners 19
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Everett, WA
- NPI 1114998168
Orthopaedic Surgery
-
- Surgical Physician Assistant
- Everett, WA
- NPI 1568289643
Physician Assistant
-
- Physician Assistant
- Seattle, WA
- NPI 1124631775
-
- Diagnostic Radiology Physician
- Lynnwood, WA
- NPI 1437315298
Diagnostic Radiology
-
- Physician Assistant
- Lynnwood, WA
- NPI 1811969769
-
- Ophthalmology Physician
- Ellensburg, WA
- NPI 1952692410
-
- Ophthalmology Physician
- Bellevue, WA
- NPI 1649279456
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783641600000",
"number": "1750320701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 PACIFIC AVE STE 300",
"city": "EVERETT",
"state": "WA",
"postal_code": "982014261",
"telephone_number": "425-339-2433",
"fax_number": "425-339-8273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 PACIFIC AVE STE 300",
"city": "EVERETT",
"state": "WA",
"postal_code": "982014261",
"telephone_number": "425-339-2433",
"fax_number": "425-339-8273"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROLIANCE SURGEONS, INC., P.S.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-05",
"last_updated": "2026-07-10",
"certification_date": "2026-07-10",
"status": "A",
"authorized_official_last_name": "PLEASANT",
"authorized_official_first_name": "CORI",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "DEL CRED & ENROLLMENT MANAGER",
"authorized_official_telephone_number": "206-838-2585"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "207XS0106X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA LABOR & INDUSTRIES",
"identifier": "123308",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2012655",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Proliance Surgeons Everett Bone and Joint",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Proliance Surgeons Everett Bone and Joint",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Everett, WA
- Program for the Advancement of Trauma Healing
- Progressive Wellness Center,PLLC
- Proliance Surgeons Inc., P.S.
- Proliance Surgeons, Inc., P.S.
- Proliance Surgeons, Inc., P.S.
- Proliance Surgeons, Inc., P.S.
- Jennifer Prout
- Providence Health & Services
- Providence Health & Services - Wa
- Providence Health & Services - Wa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; 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.