PROLIANCE EASTSIDE SURGEONS
NPI 1639118649
Surgery in Issaquah, WA

Q: What is Proliance Surgeons Inc., P.S.'s NPI number?

The NPI number for Proliance Surgeons Inc., P.S. is 1639118649. It was assigned to this organization in the NPPES registry on June 5, 2006. The provider is doing business as Proliance Eastside Surgeons.

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

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

Active since June 05, 2006

6505 226TH PL SE, SUITE 101, ISSAQUAH, WA 98027(425) 313-0775(425) 313-4704 Get Directions Write a Review

NPPES record last updated: June 29, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Proliance Eastside Surgeons NPPES

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

PROLIANCE EASTSIDE SURGEONS (NPI 1639118649) is a healthcare organization registered as a surgery in Issaquah, Washington and active in the NPI registry since June 2006. The organization lists David G. Fitzgerald, Ceo, as its authorized official.

NPPES Registry Identity

NPI1639118649

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NamePROLIANCE SURGEONS INC., P.S.

Location Address6505 226TH PL SE, SUITE 101Issaquah, WA 98027-8905

Mailing Address805 Madison St, Suite 901Seattle, WA 98104-1172 · (206) 264-8100 · Fax (206) 264-8689

Phone(425) 313-0775

Fax(425) 313-4704

Organization SubpartNo

Authorized OfficialDavid G. FitzgeraldCeo · (206) 838-2599

Enumeration DateJune 5, 2006

Last NPPES UpdateJune 29, 2011

✔ NPI 1639118649 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.

6505 226TH PL SE, Issaquah, WA 98027

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Other Names 1

Doing Business AsProliance Eastside Surgeons

Other Identifiers 1

Medicare ID-Type UnspecifiedAB24577WA

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Proliance Eastside Surgeons is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

589

Medicare enrollment records show 589 clinicians reassign Medicare billing to Proliance Eastside Surgeons, which bills Medicare for the services they deliver. Of these, 144 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 27

Orthopedic Surgery169

Physical Therapist in Private Practice97

Diagnostic Radiology64

Otolaryngology52

Occupational Therapist in Private Practice38

Qualified Audiologist26

Nurse Practitioner23

Obstetrics/Gynecology20

19 other specialties100

Nearest to this location (20)

See all 589

Katherine Todd, ARNP

Nurse Practitioner

NPI 1720663362

751 NE BLAKELY DR STE 2030
Issaquah, WA 98029

(425) 313-7080

✔ PECOS✔ Accepts Medicare1.0 mi

Laura Browne, DPT

Physical Therapist in Private Practice

NPI 1417366147

510 8TH AVE NE SUITE 340
Issaquah, WA 98029

(425) 313-3055

✔ Accepts Medicare1.0 mi

Emily Windham, DPT

Physical Therapist in Private Practice

NPI 1427382944

510 8TH AVE NE SUITE 340
Issaquah, WA 98029

(425) 313-3055

1.0 mi

Sheila Yakobina, OTRL, CHT

Occupational Therapist in Private Practice

NPI 1154443711

510 8TH AVE NE SUITE 340
Issaquah, WA 98029

(425) 313-3055

✔ Accepts Medicare1.0 mi

Stephanie Yakobina, OTRL, CHT

Occupational Therapist in Private Practice

NPI 1346368289

510 8TH AVE NE SUITE 340
Issaquah, WA 98029

(425) 313-3055

✔ Accepts Medicare1.0 mi

Carol Chappelle, OTR/L, CHT

Occupational Therapist in Private Practice

NPI 1730440926

510 8TH AVE NE STE 340
Issaquah, WA 98029

(425) 313-3051

✔ Accepts Medicare1.0 mi

Matthew Christensen, DPT

Physical Therapist in Private Practice

NPI 1033713946

510 8TH AVE NE STE 340
Issaquah, WA 98029

(425) 313-3055

✔ Accepts Medicare1.0 mi

Elizabeth Jenson, MS, OTR/L, CHT

Occupational Therapist in Private Practice

NPI 1356762793

510 8TH AVE NE STE 340
Issaquah, WA 98029

(425) 313-3055

✔ Accepts Medicare1.0 mi

Kyle Mark, PT, DPT

Physical Therapist in Private Practice

NPI 1003334871

510 8TH AVE NE SUITE 340
Issaquah, WA 98029

(425) 313-3055

✔ Accepts Medicare1.0 mi

Elizabeth Ripley, AUD

Qualified Audiologist

NPI 1184038721

510 8TH AVE NE STE 310
Issaquah, WA 98029

(425) 454-3938

✔ Accepts Medicare1.0 mi

Craig Villari, M.D.

Otolaryngology

NPI 1447493416

510 8TH AVE NE STE 310
Issaquah, WA 98029

(425) 454-3938

✔ PECOS✔ Accepts Medicare1.0 mi

Alexander Arzeno, MD

Orthopedic Surgery

NPI 1891115085

510 8TH AVE NE STE 200
Issaquah, WA 98029

(425) 392-3030

✔ PECOS✔ Accepts Medicare1.0 mi

Wilson Chang, MD

Physical Medicine and Rehabilitation

NPI 1285994699

510 8TH AVE NE STE 200
Issaquah, WA 98029

(425) 392-3030

✔ PECOS✔ Accepts Medicare1.0 mi

Akash Gupta, MD

Orthopedic Surgery

NPI 1093014771

510 8TH AVE NE STE 200
Issaquah, WA 98029

(425) 392-3030

✔ PECOS1.0 mi

Travis Kinane, DO

Family Practice

NPI 1346820867

510 8TH AVE NE STE 200
Issaquah, WA 98029

(425) 392-3030

✔ PECOS✔ Accepts Medicare1.0 mi

Samuel Moulton, M.D.

Orthopedic Surgery

NPI 1043744527

510 8TH AVE NE STE 200
Issaquah, WA 98029

(425) 392-3030

✔ PECOS✔ Accepts Medicare1.0 mi

Stephanie Ouellet, RN, ARNP

Nurse Practitioner

NPI 1023550373

510 8TH AVE NE STE 200
Issaquah, WA 98029

(425) 392-3030

✔ PECOS✔ Accepts Medicare1.0 mi

Seth Swank, D.O.

Physical Medicine and Rehabilitation

NPI 1588959415

510 8TH AVE NE STE 200
Issaquah, WA 98029

(425) 392-3030

✔ PECOS✔ Accepts Medicare1.0 mi

Hannah Tsai, AU.D.

Qualified Audiologist

NPI 1659183531

510 8TH AVE NE STE 310
Issaquah, WA 98029

(425) 454-3938

✔ Accepts Medicare1.0 mi

Julia Wood, AU.D., CCC-A

Qualified Audiologist

NPI 1154841575

510 8TH AVE NE STE 310
Issaquah, WA 98029

(425) 454-3938

✔ Accepts Medicare1.0 mi

See all 589 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1639118649. It was assigned to this organization in the NPPES registry on June 5, 2006. The provider is doing business as Proliance Eastside Surgeons.

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

Proliance Surgeons Inc., P.S. is located at 6505 226th Pl SE Suite 101, Issaquah, WA 98027. The listed phone number is (425) 313-0775.

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

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

Is Proliance Surgeons Inc., P.S. enrolled in Medicare?

Yes. Proliance Surgeons Inc., P.S. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Proliance Surgeons Inc., P.S.?

According to the CMS Revalidation Reassignment List (October 2026 release), 589 clinicians in 27 Medicare specialties reassign their Medicare billing to Proliance Surgeons Inc., P.S.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Orthopedic Surgery (169), Physical Therapist in Private Practice (97) and Diagnostic Radiology (64). Of these, 144 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Proliance Surgeons Inc., P.S. was last updated on June 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.