PROLIANCE PUYALLUP SURGEONS
NPI 1255736971
Surgery in Puyallup, WA
NPI Status: Active since October 23, 2014
Contact Information
1519 3RD ST SE STE 210
PUYALLUP, WA
ZIP 98372
Phone: (253) 840-4994
Fax: (253) 770-1105
- Organization
- Surgery
- Accepts Insurance
- Medicare Supplier
- Accepts Medicare Approved Payment
About PROLIANCE PUYALLUP SURGEONS
This page provides the complete NPI Profile along with additional information for Proliance Puyallup Surgeons, a provider established in Puyallup, Washington operating as a Surgery. The healthcare provider is registered in the NPI registry with number 1255736971 assigned on October 2014. The practitioner's primary taxonomy code is 208600000X with license number 601484763 (WA). The provider is registered as an organization and their NPI record was last updated 4 years ago. Proliance Puyallup Surgeons operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Proliance Puyallup Surgeons. The authorized official of this NPI record is Cori M. Pleasant (Mgr Provider Relations/enrollment)
- NPI
- 1255736971
- Provider Legal Name
- PROLIANCE SURGEONS, INC., P.S.
- Other Organization Name
- PROLIANCE PUYALLUP SURGEONS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1519 3RD ST SE STE 210 PUYALLUP, WA 98372
- Location Phone
- (253) 840-4994
- Location Fax
- (253) 770-1105
- Mailing Address
- 1519 3RD ST SE STE 210 PUYALLUP, WA 98372
- Mailing Phone
- (253) 840-4994
- Mailing Fax
- (253) 770-1105
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-23-2014
- Last Update Date
- 11-01-2022
- Code Navigator
A surgeon like Proliance Puyallup Surgeons treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.
Proliance Puyallup Surgeons is a medicare supplier with PTAN 20658221 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: Negative Pressure Wound Therapy Pumps/Supplies or Neuromuscular Elect Stimulators (NMES)/Supplies or Breast Prostheses and/or Accessories or Neurostimulators and/or Supplies or Urological Supplies or Enteral Nutrients or Enteral Equipment and/or Supplies or Surgical Dressings.
Location Map
Secondary Locations
- 1519 3rd St SE Ste 230
Puyallup, WA 98372
(253) 841-9640
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
Surgery
- Taxonomy Code
- 208600000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 601484763
- License State
- WA
- Taxonomy Description
- A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
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 | 2086X0206X | Allopathic & Osteopathic Physicians | Surgery | 601484763 (WA) |
| 2 | 208800000X | Allopathic & Osteopathic Physicians | Urology | 601484763 (WA) |
| 3 | 208C00000X | Allopathic & Osteopathic Physicians | Colon & Rectal Surgery | 601484763 (WA) |
| 4 | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center | |
| 5 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas 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 |
|---|---|---|---|
| 338355 | OTHER (01) | WA | WA LABOR & INDUSTRIES |
| 0532700054 | OTHER (01) | WA | DME |
| 2042632 | MEDICAID (05) | WA |
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20658221
- Accepts Medicare Assignment
- YES
- Provider Type List
- PHYSICIAN ASSISTANT, PHYSICIAN – GENERAL SURGERY, PHYSICIAN – COLORECTAL SURGERY (FORMERLY PROCTOLOGY), PHYSICIAN – UROLOGY, MULTI-SPECIALTY - PHYSICIAN, PHYSICIAN – SURGICAL ONCOLOGY.
- Competitive Bidding
- NO
Supplies List
- Negative Pressure Wound Therapy Pumps/Supplies - Wound care sets, Pumps, Canisters
- Neuromuscular Elect Stimulators (NMES)/Supplies - Electrodes, lead wires, adhesive tape
- Breast Prostheses and/or Accessories - Prosthetic bra, Surgical bra
- Neurostimulators and/or Supplies - Rechargable neurostimulators, Non-rechargable neurostimulators
- Urological Supplies - Catheters, Urinary collection devices
- Enteral Nutrients - Enteral formula
- Enteral Equipment and/or Supplies - Enteral infusion pumps, enteral nutrition supply kits
- Surgical Dressings - Gauze, Elastic bandages, Adhesive tape
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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 1255736971, 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 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 59 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255736971, enumerated as an "organization" on October 23, 2014.
The provider is located at 1519 3RD ST SE STE 210 PUYALLUP, WA 98372 and the phone number is (253) 840-4994.
Surgery with taxonomy code 208600000X.
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.
