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PROLIANCE PROORTHO ORTHOPEDICS, SPORTS, JOINTS AND SPINE
NPI 1073552097
Orthopaedic Surgery in Monroe, WA

Active since June 05, 2006CLIA 50D2123730 · Waiver
14841 179TH AVE SE STE 330, MONROE, WA 98272(360) 794-3300(360) 794-6610 Get Directions Write a Review

NPPES record last updated: August 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 22, 2022, May 27, 2021 (2 updates tracked since 2021).

About Proliance Proortho Orthopedics, Sports, Joints And Spine NPPES

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

PROLIANCE PROORTHO ORTHOPEDICS, SPORTS, JOINTS AND SPINE (NPI 1073552097) is a healthcare organization registered as an orthopaedic surgery in Monroe, Washington and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Cori M. Pleasant, Mgr Provider Relations/enrollment, as its authorized official.

NPPES Registry Identity

NPI1073552097
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NamePROLIANCE SURGEONS INC., P.S.
Location Address14841 179TH AVE SE STE 330Monroe, WA 98272-1127
Mailing Address12911 120th Ave Ne Ste G10Kirkland, WA 98034-3048 · (425) 823-4000
Phone(360) 794-3300
Fax(360) 794-6610
Organization SubpartNo
Authorized OfficialCori M. PleasantMgr Provider Relations/enrollment · (206) 838-2585
Enumeration DateJune 5, 2006
Last NPPES UpdateAugust 22, 20222 updates tracked since enumeration
NPPES CertifiedAugust 22, 2022
✔ NPI 1073552097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in WA · 601484763
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Orthopaedic Surgery of the SpineTaxonomy 207XS0117X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X
14841 179TH AVE SE STE 330, Monroe, WA 98272
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Other Names 1

Doing Business AsProliance Proortho Orthopedics, Sports, Joints And Spine

Other Identifiers 2

Other51292Wa Labor & Industries
Medicaid1015791WA

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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2123730

Proliance Proortho Orthopedics Sports, Joints And Spine · Kirkland, WA
Active · expires Apr 4, 2028
CLIA Number50D2123730
Laboratory TypePhysician Office
Certificate Effective DateDecember 29, 2016
Certificate Expiration DateApril 4, 2028
Laboratory DirectorDaniel E. Nelson
Laboratory Phone(425) 823-4000
Laboratory LocationProliance Proortho Orthopedics Sports, Joints And Spine12911 120th Ave NE Ste H210, Kirkland, WA 98034
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DAVID CUI PA-C
Physician Assistant (Surgical)
14841 179TH AVE SE STE 330
MONROE, WA 98272
Snohomish County (360) 794-3300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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

The NPI number for Proliance Surgeons Inc., P.S. is 1073552097. It was assigned to this organization in the NPPES registry on June 5, 2006. The provider is doing business as Proliance Proortho Orthopedics, Sports, Joints And Spine.

Where is Proliance Surgeons Inc., P.S. located?

Proliance Surgeons Inc., P.S. is located at 14841 179th Ave SE Ste 330, Monroe, WA 98272. The listed phone number is (360) 794-3300.

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

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Does Proliance Surgeons Inc., P.S. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2123730) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Proliance Surgeons Inc., P.S. accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Proliance Surgeons Inc., P.S. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Proliance Surgeons Inc., P.S. was last updated on August 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.