PROLIANCE EVERETT BONE AND JOINT SURGERY CENTER
NPI 1760421846
Clinic/Center - Ambulatory Surgical in Everett, WA

NPI Status: Active since June 05, 2006

Contact Information

1100 PACIFIC AVE STE 100
EVERETT, WA
ZIP 98201
Phone: (425) 317-8535
Fax: (425) 317-8628

Get Directions Write a Review

  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • Accepts Insurance
  • Medicare Supplier
  • Accepts Medicare Approved Payment
  • CLIA Number: 50D1072079
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 04-04-2028

About PROLIANCE EVERETT BONE AND JOINT SURGERY CENTER

This page provides the complete NPI Profile along with additional information for Proliance Everett Bone And Joint Surgery Center, a provider established in Everett, Washington operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1760421846 assigned on June 2006. The practitioner's primary taxonomy code is 261QA1903X with license number 601484763 (WA). The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Proliance Everett Bone And Joint Surgery Center. The authorized official of this NPI record is Cori M. Pleasant (Del Cred & Enrollment Manager)

NPI
1760421846
Provider Legal Name
PROLIANCE SURGEONS, INC., P.S.
Other Organization Name
PROLIANCE EVERETT BONE AND JOINT SURGERY CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1100 PACIFIC AVE STE 100 EVERETT, WA 98201
Location Phone
(425) 317-8535
Location Fax
(425) 317-8628
Mailing Address
1100 PACIFIC AVE STE 300 EVERETT, WA 98201
Mailing Phone
(425) 339-2433
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-05-2006
Last Update Date
12-06-2023
Code Navigator



Proliance Everett Bone And Joint Surgery Center is a medicare supplier with PTAN 26717188 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: 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

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License No.
601484763
License State
WA

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
  • HSA-E Qualified 7500 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CORI M. PLEASANT

Authorized Official Title
DEL CRED & ENROLLMENT MANAGER
Authorized Official Phone
(206) 838-2585

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
137868OTHER (01)WAWA LABOR & INDUSTRIES
2093710MEDICAID (05)WA 

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Destruction of peripheral nerve or branch

Destruction of a peripheral nerve or branch is a procedure to treat nerve-related pain. It involves using heat, cold, or chemicals to damage or destroy the nerve, thereby blocking pain signals to the brain. This can provide long-term pain relief.

This service was performed 199 times for 39 patients

Incision of tendon covering of finger

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

This service was performed 16 times for 12 patients

Release of tendon connecting biceps muscle and shoulder using an endoscope

This procedure involves using a small camera, known as an endoscope, to view and release the tendon connecting your biceps muscle and shoulder. It can help reduce pain and improve mobility. The procedure is minimally invasive, promoting quicker recovery.

This service was performed 19 times for 18 patients

Release of wrist ligament using an endoscope

This procedure involves using a small camera, called an endoscope, to view and treat a tight wrist ligament. The endoscope is inserted through a tiny incision, reducing recovery time and scarring. It helps to relieve pain and improve wrist function.

This service was performed 19 times for 18 patients

Repair of shoulder rotator cuff using an endoscope

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

This service was performed 15 times for 14 patients

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
26717188
Accepts Medicare Assignment
YES
Provider Type List
PHYSICIAN ASSISTANT, PHYSICIAN – ORTHOPEDIC/ORTHOPEDIC SURGERY.
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: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
50D1072079
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
August 08, 2007
Certificate Expiration Date
April 04, 2028
Laboratory Director
TODD HAVENER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Proliance Everett Bone And Joint Surgery Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for PROLIANCE EVERETT BONE AND JOINT SURGERY CENTER

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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 1760421846, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

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.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
0
Unchanged
Pos 5
4
Doubled → 8
Pos 6
2
Unchanged
Pos 7
1
Doubled → 2
Pos 8
8
Unchanged
Pos 9
4
Doubled → 8
Check
6
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 6 → 12 → 3 4 → 8 1 → 2 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 2 + 0 + 8 + 2 + 2 + 8 + 8 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1760421846.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760421846, enumerated as an "organization" on June 05, 2006.

The provider is located at 1100 PACIFIC AVE STE 100 EVERETT, WA 98201 and the phone number is (425) 317-8535.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska,. Please consult your insurance carrier or call the provider to verify.