EVERGREEN SURGICAL CLINIC
NPI 1487691150
Surgery in Kirkland, WA

Active since June 01, 2006
12333 NE 130TH LN, SUITE 420, KIRKLAND, WA 98034(425) 899-5500(425) 899-5529 Get Directions Write a Review

NPPES record last updated: October 31, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evergreen Surgical Clinic NPPES

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

EVERGREEN SURGICAL CLINIC (NPI 1487691150) is a healthcare organization registered as a surgery in Kirkland, Washington and active in the NPI registry since June 2006. The organization lists David G. Fitzgerald, Ceo, as its authorized official.

NPPES Registry Identity

NPI1487691150
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NamePROLIANCE SURGEONS, INC., P.S.
Location Address12333 NE 130TH LN, SUITE 420Kirkland, WA 98034-7467
Mailing Address805 Madison St., Suite 901Seattle, WA 98104-1172 · (206) 264-8100 · Fax (206) 264-8689
Fax(425) 899-5529
Organization SubpartNo
Authorized OfficialDavid G. FitzgeraldCeo · (206) 838-2599
Enumeration DateJune 1, 2006
Last NPPES UpdateOctober 31, 2011
NPI 1487691150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in WA · 601484763
Definition
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.
12333 NE 130TH LN, Kirkland, WA 98034

Other Names 1

Doing Business AsEvergreen Surgical Clinic

Other Identifiers 1

Medicare ID-Type UnspecifiedAB24597WA

Group Practice 1

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

Other Providers at the Same Location NPPES 20

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

Genetic Counselor, MS
12333 NE 130TH LN, TAN 240
KIRKLAND, WA 98034
Surgery
12333 NE 130TH LN, SUITE 420
KIRKLAND, WA 98034
Physician Assistant (Surgical)
12333 NE 130TH LN, SUITE 420
KIRKLAND, WA 98034
Clinic/Center (Ambulatory Surgical)
12333 NE 130TH LN, #420
KIRKLAND, WA 98034
Audiologist
12333 NE 130TH LN
KIRKLAND, WA 98034
Nurse Practitioner
12333 NE 130TH LN, #302
KIRKLAND, WA 98034
Dermatology
12333 NE 130TH LN, SUITE 330
KIRKLAND, WA 98034
Internal Medicine (Pulmonary Disease)
12333 NE 130TH LN, SUITE 225
KIRKLAND, WA 98034

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 1487691150. It was assigned to this organization in the NPPES registry on June 1, 2006. The provider is doing business as Evergreen Surgical Clinic.

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

Proliance Surgeons, Inc., P.S. is located at 12333 NE 130th Ln Suite 420, Kirkland, WA 98034. The listed phone number is (425) 899-5500.

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

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Proliance Surgeons, Inc., P.S. was last updated on October 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.