PROLIANCE ORTHOPEDIC ASSOCIATES
NPI 1417512021
Orthopaedic Surgery in Auburn, WA
NPI Status: Active since May 08, 2019
Contact Information
1620 LAKE TAPPS PKWY SE STE 115
AUBURN, WA
ZIP 98092
Phone: (253) 246-2860
Fax: (253) 246-2861
- Organization
- Orthopaedic Surgery
- Accepts Insurance
- Medicare Supplier
- Accepts Medicare Approved Payment
About PROLIANCE ORTHOPEDIC ASSOCIATES
This page provides the complete NPI Profile along with additional information for Proliance Orthopedic Associates, a provider established in Auburn, Washington operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1417512021 assigned on May 2019. The practitioner's primary taxonomy code is 207X00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Proliance Orthopedic Associates 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 Orthopedic Associates. The authorized official of this NPI record is Mrs. Laura Kleisle (Chief Risk Officer)
- NPI
- 1417512021
- Provider Legal Name
- PROLIANCE SURGEONS, INC., P.S.
- Other Organization Name
- PROLIANCE ORTHOPEDIC ASSOCIATES
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1620 LAKE TAPPS PKWY SE STE 115 AUBURN, WA 98092
- Location Phone
- (253) 246-2860
- Location Fax
- (253) 246-2861
- Mailing Address
- 4011 TALBOT RD S STE 300 RENTON, WA 98055
- Mailing Phone
- (425) 656-5060
- Mailing Fax
- (253) 246-2861
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-08-2019
- Last Update Date
- 05-27-2021
- Code Navigator
Proliance Orthopedic Associates is a medicare supplier with PTAN 20658203 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: Traction Equipment or Canes and/or Crutches or Walkers or Orthoses: Custom Fabricated or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf.
Location Map
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
Orthopaedic Surgery
- Taxonomy Code
- 207X00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
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 | 207XS0106X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | |
| 2 | 207XS0114X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | |
| 3 | 207XS0117X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | |
| 4 | 207XX0004X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | |
| 5 | 207XX0005X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | |
| 6 | 207XX0801X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | |
| 7 | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center | |
| 8 | 363AS0400X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | |
| 9 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
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
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20658203
- Accepts Medicare Assignment
- YES
- Provider Type List
- PHYSICIAN ASSISTANT, NURSE PRACTITIONER, PHYSICIAN – ORTHOPEDIC/ORTHOPEDIC SURGERY, SPORTS MEDICINE, MULTI-SPECIALTY - PHYSICIAN.
- Competitive Bidding
- NO
Supplies List
- Traction Equipment - Traction tables, Traction machines, Inversion tables
- 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
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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 1417512021, 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 4 providers are registered at the same or a nearby location.
AUBURN, WA 98092
AUBURN, WA 98092
AUBURN, WA 98092
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417512021, enumerated as an "organization" on May 08, 2019.
The provider is located at 1620 LAKE TAPPS PKWY SE STE 115 AUBURN, WA 98092 and the phone number is (253) 246-2860.
Orthopaedic Surgery with taxonomy code 207X00000X.
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.
