PROLIANCE SURGEONS BELLEVUE ENT AND LAKE WA FACIAL PLASTIC SURGERY
NPI 1013186121
Otolaryngology in Issaquah, WA

Q: What is Proliance Surgeons, Inc., P.S.'s NPI number?

The NPI number for Proliance Surgeons, Inc., P.S. is 1013186121. It was assigned to this organization in the NPPES registry on February 22, 2008. The provider is doing business as Proliance Surgeons Bellevue Ent And Lake Wa Facial Plastic Surgery and Proliance Surgeons Bellevue Ear Nose and Throat and Sound Hearing.

Q: What is Proliance Surgeons, Inc., P.S.'s specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Active since February 22, 2008

510 8TH AVE NE STE 310, ISSAQUAH, WA 98029(425) 454-3938(425) 392-3561 Get Directions Write a Review

NPPES record last updated: August 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 22, 2022, Aug 19, 2022, May 26, 2021 (3 updates tracked since 2021).

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About Proliance Surgeons Bellevue Ent And Lake Wa Facial Plastic Surgery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROLIANCE SURGEONS BELLEVUE ENT AND LAKE WA FACIAL PLASTIC SURGERY (NPI 1013186121) is a healthcare organization registered as an otolaryngology in Issaquah, Washington and active in the NPI registry since February 2008. The organization maintains a secondary practice location in Issaquah and lists Cori M. Pleasant, Mgr Provider Relations/enrollment, as its authorized official.

NPPES Registry Identity

NPI1013186121

Entity TypeOrganization

Primary Taxonomy207Y00000X

Legal Business NamePROLIANCE SURGEONS, INC., P.S.

Location Address510 8TH AVE NE STE 310Issaquah, WA 98029-5436

Mailing Address510 8th Ave Ne Ste 310Issaquah, WA 98029-5436 · (425) 454-3938 · Fax (425) 392-3561

Phone(425) 454-3938

Fax(425) 392-3561

Organization SubpartNo

Authorized OfficialCori M. PleasantMgr Provider Relations/enrollment · (206) 838-2585

Enumeration DateFebruary 22, 2008

Last NPPES UpdateAugust 22, 20223 updates tracked since enumeration

NPPES CertifiedAugust 22, 2022

✔ NPI 1013186121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in WA · 601484763

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Also ListedOtolaryngology · Facial Plastic SurgeryTaxonomy 207YS0123X

Also ListedAudiologistTaxonomy 231H00000X

Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X

510 8TH AVE NE STE 310, Issaquah, WA 98029

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Other Names 2

Doing Business AsProliance Surgeons Bellevue Ent And Lake Wa Facial Plastic Surgery

Doing Business AsProliance Surgeons Bellevue Ear Nose And Throat And Sound Hearing

Secondary Practice Location 1

Location 1510 8th Ave NE Ste 300Issaquah, WA 98029-5436 · Phone (425) 278-1810 · Fax (425) 392-3547

Other Identifiers 2

Other229378WA · Wa Labor & Industries

Medicaid1060221WA

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 8

Medicare supplier enrollment and the product categories Proliance Ortho And Sports Medicine carries, from the Medicare DMEPOS supplier directory.

Proliance Ortho And Sports Medicine

DMEPOS supplier · Issaquah, WAOperated by Proliance Surgeons Inc P S

✔

Accepts Medicare assignment

Proliance Ortho And Sports Medicine agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20658335

Medicare Participant SinceJanuary 1, 1998

Supplier Location510 8th Ave NE Ste 200Issaquah, WA 98029

Phone(425) 392-3030

Provider TypePhysician Assistant · Physician – Orthopedic/Orthopedic Surgery · Multi-Specialty - Physician

Medicare Product Categories

Heat & Cold Applications

Heat therapy, Cold therapy, Heating pads

Canes and/or Crutches

Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches

Walkers

Standard Walkers, Wheeled Walkers, Folding Walker

Orthoses: Custom Fabricated

Custom met pads, Custom heel pads, Custom heel spur pads

Orthoses: Prefabricated (Non-Custom Fabricated)

Met pads, Heel pads, Heel spur pads

Orthoses: Off-The-Shelf

Met pads, Heel pads, Heel spur pads

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BLAKE J. BECK PA-C

Physician Assistant (Surgical)