PROLIANCE SURGEONS BELLEVUE ENT AND LAKE WA FACIAL PLASTIC SURGERY
NPI 1013186121
Otolaryngology in Issaquah, WA
NPI Status: Active since February 22, 2008
Contact Information
510 8TH AVE NE STE 310
ISSAQUAH, WA
ZIP 98029
Phone: (425) 454-3938
Fax: (425) 392-3561
- Organization
- Otolaryngology
- Accepts Insurance
- Medicare Supplier
- Accepts Medicare Approved Payment
About PROLIANCE SURGEONS BELLEVUE ENT AND LAKE WA FACIAL PLASTIC SURGERY
This page provides the complete NPI Profile along with additional information for Proliance Surgeons Bellevue Ent And Lake Wa Facial Plastic Surgery, a provider established in Issaquah, Washington operating as a Otolaryngology. The healthcare provider is registered in the NPI registry with number 1013186121 assigned on February 2008. The practitioner's primary taxonomy code is 207Y00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Proliance Surgeons Bellevue Ent And Lake Wa Facial Plastic Surgery operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Proliance Surgeons Bellevue Ent And Lake Wa Facial Plastic Surgery. The authorized official of this NPI record is Cori M. Pleasant (Mgr Provider Relations/enrollment)
- NPI
- 1013186121
- Provider Legal Name
- PROLIANCE SURGEONS, INC., P.S.
- Other Organization Name
- PROLIANCE SURGEONS BELLEVUE ENT AND LAKE WA FACIAL PLASTIC SURGERY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 510 8TH AVE NE STE 310 ISSAQUAH, WA 98029
- Location Phone
- (425) 454-3938
- Location Fax
- (425) 392-3561
- Mailing Address
- 510 8TH AVE NE STE 310 ISSAQUAH, WA 98029
- Mailing Phone
- (425) 454-3938
- Mailing Fax
- (425) 392-3561
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-22-2008
- Last Update Date
- 08-22-2022
- Code Navigator
Proliance Surgeons Bellevue Ent And Lake Wa Facial Plastic Surgery is a medicare supplier with PTAN 20658335 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Heat & Cold Applications or Canes and/or Crutches or Walkers or Orthoses: Custom Fabricated or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf or Diabetic Shoes and Inserts or Diabetic Shoes/Inserts - Custom.
Location Map
Secondary Locations
- 510 8th Ave NE Ste 300
Issaquah, WA 98029
(425) 278-1810
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Otolaryngology
- Taxonomy Code
- 207Y00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Y00000X | Allopathic & Osteopathic Physicians | Otolaryngology | 601484763 (WA) |
| 2 | 207YS0123X | Allopathic & Osteopathic Physicians | Otolaryngology | |
| 3 | 231H00000X | Speech, Language and Hearing Service Providers | Audiologist | |
| 4 | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
- Premera Blue Cross Family Dental - PPO
- Premera Blue Cross Pediatric Dental - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 229378 | OTHER (01) | WA | WA LABOR & INDUSTRIES |
| 1060221 | MEDICAID (05) | WA |
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20658335
- Accepts Medicare Assignment
- YES
- Provider Type List
- PHYSICIAN ASSISTANT, PHYSICIAN – ORTHOPEDIC/ORTHOPEDIC SURGERY, MULTI-SPECIALTY - PHYSICIAN.
- Competitive Bidding
- NO
Supplies List
- 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
- Diabetic Shoes and Inserts - Shoes, Socks, Insoles
- Diabetic Shoes/Inserts - Custom - Custom fabricated shoes, socks, & insoles
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1013186121, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 49 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
ISSAQUAH, WA 98029
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013186121, enumerated as an "organization" on February 22, 2008.
The provider is located at 510 8TH AVE NE STE 310 ISSAQUAH, WA 98029 and the phone number is (425) 454-3938.
Otolaryngology with taxonomy code 207Y00000X.
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska, Medicare. Please consult your insurance carrier or call the provider to verify.
