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PROLIANCE EAR NOSE THROAT AND ALLERGY ASSOCIATES
NPI 1407223985
Otolaryngology in Puyallup, WA

Active since August 31, 2015CLIA 50D2247895 · Waiver
104 27TH AVE SE, PUYALLUP, WA 98374(253) 770-9712(253) 770-9712 Get Directions Write a Review

NPPES record last updated: May 31, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 22, 2022, May 27, 2021, Dec 19, 2020 and 2 more (5 updates tracked since 2015).

About Proliance Ear Nose Throat And Allergy Associates NPPES

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

PROLIANCE EAR NOSE THROAT AND ALLERGY ASSOCIATES (NPI 1407223985) is a healthcare organization registered as an otolaryngology in Puyallup, Washington and active in the NPI registry since August 2015. The organization holds a CLIA Waiver certificate valid through April 4, 2028, maintains 2 additional practice locations, and lists Cori M. Pleasant, Mgr Provider Relations/enrollment, as its authorized official.

NPPES Registry Identity

NPI1407223985
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NamePROLIANCE SURGEONS, INC., P.S.
Location Address104 27TH AVE SEPuyallup, WA 98374-1145
Mailing AddressPo Box 1205Puyallup, WA 98371-0231 · (253) 770-9000
Phone(253) 770-9712
Fax(253) 770-9712
Organization SubpartNo
Authorized OfficialCori M. PleasantMgr Provider Relations/enrollment · (206) 838-2585
Enumeration DateAugust 31, 2015
Last NPPES UpdateMay 31, 20245 updates tracked since enumeration
NPPES CertifiedMay 31, 2024
✔ NPI 1407223985 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 ListedAllergy & Immunology · AllergyTaxonomy 207KA0200X · License 601484763 (WA)
Also ListedAudiologistTaxonomy 231H00000X · License 601484763 (WA)
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
104 27TH AVE SE, Puyallup, WA 98374
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Other Names 1

Doing Business AsProliance Ear Nose Throat And Allergy Associates

Secondary Practice Locations 2

Location 1515 Minor Ave Ste 140Seattle, WA 98104-2138 · Phone (253) 770-9000 · Fax (253) 770-9712
Location 221911 76th Ave W Ste 211Edmonds, WA 98026-7918 · Phone (253) 770-9000 · Fax (253) 770-9712

Other Identifiers 2

Medicaid2049207WA
Other345481WA · Labor & Industries

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 50D2247895

Proliance Ear, Nose, Throat & Allergy Associates · Puyallup, WA
Active · expires Apr 4, 2028
CLIA Number50D2247895
Laboratory TypePhysician Office
Certificate Effective DateJanuary 10, 2022
Certificate Expiration DateApril 4, 2028
Laboratory DirectorCharles Edmond Jr
Laboratory Phone(253) 770-9000
Laboratory LocationProliance Ear, Nose, Throat & Allergy Associates104 27th Ave SE, Puyallup, WA 98374
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 17

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

EAR, NOSE, THROAT & ALLERGY ASSOICATIES PS
Audiologist
104 27TH AVE SE
PUYALLUP, WA 98374
Pierce County (253) 770-8454
EAR,NOSE,THROAT & ALLERGY ASSOCIATES PS
Specialist
104 27TH AVE SE
PUYALLUP, WA 98374
Pierce County (253) 770-8454
DR. TODD DWYER JONES M.D.
Otolaryngology
104 27TH AVE SE
PUYALLUP, WA 98374
Pierce County (253) 770-9000
BENJAMIN WIBONELE MD
Otolaryngology
104 27TH AVE SE
PUYALLUP, WA 98374
Pierce County (253) 770-9000
TIA C. MCDONALD AU.D., CCC-A
Audiologist
104 27TH AVE SE
PUYALLUP, WA 98374
Pierce County (253) 770-9000
NOAH ARTHUR COPE
Audiologist
104 27TH AVE SE
PUYALLUP, WA 98374
Pierce County (253) 770-9000
VIVIAN MAE YU MD
Otolaryngology
104 27TH AVE SE
PUYALLUP, WA 98374
Pierce County (253) 770-9000
JULIE ALLINA GUSTAFSON M.D.
Otolaryngology
104 27TH AVE SE
PUYALLUP, WA 98374
Pierce County (253) 848-0368

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 1407223985. It was assigned to this organization in the NPPES registry on August 31, 2015. The provider is doing business as Proliance Ear Nose Throat And Allergy Associates.

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

Proliance Surgeons, Inc., P.S. is located at 104 27th Ave SE, Puyallup, WA 98374. The listed phone number is (253) 770-9712.

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 50D2247895) 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 May 31, 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.