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PROLIANCE SOUTH SEATTLE OTOLARYNGOLOGY
NPI 1114108784
Otolaryngology in Burien, WA

Active since November 23, 2007CLIA 50D2336837 · Waiver
16259 SYLVESTER RD SW STE 504, BURIEN, WA 98166(206) 242-3696(206) 246-1078 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 21, 2024, Nov 1, 2022, Jul 21, 2022 and 3 more (6 updates tracked since 2020).

About Proliance South Seattle Otolaryngology NPPES

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

PROLIANCE SOUTH SEATTLE OTOLARYNGOLOGY (NPI 1114108784) is a healthcare organization registered as an otolaryngology in Burien, Washington and active in the NPI registry since November 2007. 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

NPI1114108784
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NamePROLIANCE SURGEONS, INC., P.S.
Location Address16259 SYLVESTER RD SW STE 504Burien, WA 98166-3059
Mailing Address16259 Sylvester Rd Sw Ste 504Burien, WA 98166-3059 · (206) 242-3696 · Fax (206) 246-1078
Phone(206) 242-3696
Fax(206) 246-1078
Organization SubpartNo
Authorized OfficialCori M. PleasantMgr Provider Relations & Enrollment · (206) 838-2585
Enumeration DateNovember 23, 2007
Last NPPES UpdateJune 21, 20246 updates tracked since enumeration
NPPES CertifiedJune 21, 2024
✔ NPI 1114108784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
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 · Otolaryngology/Facial Plastic SurgeryTaxonomy 207YX0905X
Also ListedAudiologistTaxonomy 231H00000X
16259 SYLVESTER RD SW STE 504, Burien, WA 98166
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Other Names 1

Doing Business AsProliance South Seattle Otolaryngology

Other Identifiers 2

Medicaid1054623WA
Other227694WA · Wa L&i

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 50D2336837

Proliance South Seattle Otolaryngology · Burien, WA
Active · expires Apr 4, 2028
CLIA Number50D2336837
Laboratory TypePhysician Office
Certificate Effective DateJanuary 12, 2026
Certificate Expiration DateApril 4, 2028
Laboratory DirectorPeter F. Maurice III
Laboratory Phone(206) 242-3696
Laboratory LocationProliance South Seattle Otolaryngology16259 Sylvester Rd SW Ste 504, Burien, WA 98166
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

SHELBY LYNN HOLST AU.D
Audiologist
16259 SYLVESTER RD SW STE 504
BURIEN, WA 98166
King County (206) 242-3696
DR. DAVID C GREEN M.D.
Otolaryngology
16259 SYLVESTER RD SW STE 504
BURIEN, WA 98166
King County (206) 242-3696
DAVID Q SANTOS MD
Otolaryngology
16259 SYLVESTER RD SW STE 504
BURIEN, WA 98166
King County (206) 242-3696
DR. PETER F MAURICE III M.D.
Otolaryngology
16259 SYLVESTER RD SW STE 504
BURIEN, WA 98166
King County (206) 242-3696
DR. CHAD VICTOR RUFFIN MD
Otolaryngology
16259 SYLVESTER RD SW STE 504
BURIEN, WA 98166
King County (206) 242-3696

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 1114108784. It was assigned to this organization in the NPPES registry on November 23, 2007. The provider is doing business as Proliance South Seattle Otolaryngology.

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

Proliance Surgeons, Inc., P.S. is located at 16259 Sylvester Rd SW Ste 504, Burien, WA 98166. The listed phone number is (206) 242-3696.

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

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

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

Yes. A Certificate of Waiver (number 50D2336837) 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 June 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.