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PROLIANCE EASTSIDE ENT
NPI 1528304292
Otolaryngology in Kirkland, WA

Active since December 27, 2012
12333 NE 130TH LN STE 440, KIRKLAND, WA 98034(425) 899-3838(425) 671-0367 Get Directions Write a Review

NPPES record last updated: May 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Proliance Eastside Ent NPPES

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

PROLIANCE EASTSIDE ENT (NPI 1528304292) is a healthcare organization registered as an otolaryngology in Kirkland, Washington and active in the NPI registry since December 2012. The organization lists Laura Kleisle, Chief Risk Officer, as its authorized official.

NPPES Registry Identity

NPI1528304292
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NamePROLIANCE SURGEONS, INC., P.S.
Location Address12333 NE 130TH LN STE 440Kirkland, WA 98034-7467
Mailing Address1800 116th Ave Ne Ste 102Bellevue, WA 98004-3043
Phone(425) 899-3838
Fax(425) 671-0367
Organization SubpartNo
Authorized OfficialLaura KleisleChief Risk Officer · (206) 838-2590
Enumeration DateDecember 27, 2012
Last NPPES UpdateMay 27, 2021
NPPES CertifiedMay 27, 2021
✔ NPI 1528304292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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 ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X
12333 NE 130TH LN STE 440, Kirkland, WA 98034
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Other Names 1

Doing Business AsProliance Eastside Ent

Other Identifiers 2

Other222338WA · Wa Labor & Industries
Medicaid2001403WA

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

Other Providers at the Same Location NPPES 2

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

DR. KENNETH D FAW M.D.
Otolaryngology
12333 NE 130TH LN STE 440
KIRKLAND, WA 98034
King County (425) 899-3838
MR. WILLIAM GREGORY YOUNG JR. M.D.
Otolaryngology
12333 NE 130TH LN STE 440
KIRKLAND, WA 98034
King County (425) 899-3838

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 1528304292. It was assigned to this organization in the NPPES registry on December 27, 2012. The provider is doing business as Proliance Eastside Ent.

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

Proliance Surgeons, Inc., P.S. is located at 12333 NE 130th Ln Ste 440, Kirkland, WA 98034. The listed phone number is (425) 899-3838.

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

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

When was this NPI record last updated?

The NPPES record for Proliance Surgeons, Inc., P.S. was last updated on May 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.