PROLIANCE EASTSIDE SURGERY CENTER
NPI 1790724862
Clinic/Center - Ambulatory Surgical in Kirkland, WA
NPI Status: Active since June 05, 2006
Contact Information
12911 120TH AVE NE STE H110
KIRKLAND, WA
ZIP 98034
Phone: (425) 216-7000
Fax: (425) 216-7019
- Organization
- Clinic/Center
- Ambulatory Surgical
- Accepts Insurance
- CLIA Number: 50D1010072
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 04-04-2028
About PROLIANCE EASTSIDE SURGERY CENTER
This page provides the complete NPI Profile along with additional information for Proliance Eastside Surgery Center, a provider established in Kirkland, Washington operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1790724862 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 5 years ago. The provider's is doing business as Proliance Eastside Surgery Center. The authorized official of this NPI record is Mrs. Laura Kleisle (Chief Risk Officer)
- NPI
- 1790724862
- Provider Legal Name
- PROLIANCE SURGEONS, INC., P.S.
- Other Organization Name
- PROLIANCE EASTSIDE SURGERY CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 12911 120TH AVE NE STE H110 KIRKLAND, WA 98034
- Location Phone
- (425) 216-7000
- Location Fax
- (425) 216-7019
- Mailing Address
- 12911 120TH AVE NE STE G10 KIRKLAND, WA 98034
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-05-2006
- Last Update Date
- 05-28-2021
- Code Navigator
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:
- Core Bronze HSA 10600 - EPO
- Core Bronze HSA 7500 - EPO
- Core Bronze HSA 8300 - EPO
- Core Gold 1500 - EPO
- Core Gold 3000 - EPO
- Core Silver 3500 - EPO
- Core Silver 4500 - EPO
- Core Silver 5000 - EPO
- Core Silver 7500 - EPO
- Core Standard Expanded Bronze HSA - EPO
- Core Standard Gold - EPO
- Core Standard Silver - EPO
- PacificSource Oregon Standard Bronze HSA Plan Core - EPO
- PacificSource Oregon Standard Gold Plan Core - EPO
- PacificSource Oregon Standard Silver Plan Core - EPO
- 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.
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 |
|---|---|---|---|
| 173398 | OTHER (01) | WA LABOR & INDUSTRIES | |
| 1045664 | MEDICAID (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.
Correction of toe joint deformity
Fusion of multiple foot joints
Injection, bupivacaine liposome, 1 mg
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment
Partial removal of spine bone with release of lower spinal cord or nerves and/or removal of disc
Release of tendon connecting biceps muscle and shoulder using an endoscope
Release of wrist ligament using an endoscope
Relocation of tendon of forearm and/or wrist
Removal of bone joints between wrist and fingers
Removal of connective tissue of palm and release of finger, first digit
Removal of deep implant from bone
Removal of extensive shoulder joint tissue using an endoscope
Removal of growth of muscle of hand or finger, less than 1.5 cm
Removal of growth of tendon finger or hand
Removal of knee cartilage using an endoscope
Repair of groin hernia using an endoscope
Repair of shoulder rotator cuff using an endoscope
Repair of tendon, finger, and/or palm of hand
Replacement of knee joint on side of knee
Replacement of knee joint, both sides of knee
Replacement of thigh bone and hip joint with prosthesis
Transfer of tendon to back of hand
Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing device
Correction of toe joint deformity is a procedure to fix misshapen toe joints. This can involve realigning the bones, removing bone or tissue, or implanting devices to improve joint function. It can help reduce pain and improve mobility.
This service was performed 21 times for 13 patientsFusion of multiple foot joints is a surgical procedure aimed at reducing pain and improving stability in your foot. It involves joining two or more bones in the foot to limit motion and relieve discomfort. The recovery period varies, often requiring a cast and limited weight-bearing activities.
This service was performed 12 times for 12 patientsBupivacaine liposome is a local anesthetic used to numb a specific area of the body and reduce pain or discomfort associated with surgical procedures. The 1 mg dosage is injected by a healthcare professional at the required site.
This service was performed 20,971 times for 102 patientsThis procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.
This service was performed 12 times for 12 patientsThis procedure involves partially removing a spine bone, which may help to alleviate pressure on the lower spinal cord or nerves. It can also include disc removal. This can reduce pain and improve mobility. It's a common treatment for certain back conditions.
This service was performed 37 times for 20 patientsThis 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 21 times for 21 patientsThis 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 74 times for 62 patientsRelocation of a tendon in the forearm or wrist is a surgical procedure aimed to improve joint function. It involves moving a tendon from its original position to a new one to enhance mobility or correct a deformity. It's typically done under general anesthesia.
This service was performed 11 times for 11 patientsThis procedure involves the surgical removal of bone joints between your wrist and fingers. It's typically done to relieve pain or restore function due to conditions like arthritis. After removal, the space may be filled with a graft or artificial joint.
This service was performed 21 times for 20 patientsThis procedure involves removing certain tissue in your palm to alleviate tension, and releasing the first digit (thumb) if it's constricted. It's done to improve hand function and reduce discomfort. It's a common treatment for conditions like Dupuytren's contracture.
This service was performed 21 times for 18 patientsThis procedure involves the careful extraction of an implant deeply embedded in a bone. A specialist makes a small incision, then utilizes precise instruments to reach and safely remove the implant. The area is then closed and monitored for healing.
This service was performed 18 times for 17 patientsThis procedure, known as arthroscopic debridement, involves using a small camera (endoscope) to view your shoulder joint. Damaged or unwanted tissue is then carefully removed. This minimally invasive technique aims to reduce pain and improve joint mobility.
This service was performed 31 times for 31 patientsThis procedure involves the surgical removal of a small growth, less than 1.5 cm, in the muscle of the hand or finger. It's done to eliminate discomfort or to prevent potential health issues. The process is safe and performed under local anesthesia.
This service was performed 15 times for 15 patientsThis procedure involves the surgical removal of abnormal growths on tendons in the finger or hand. These growths can cause discomfort or restrict movement. The process aims to alleviate pain and restore function to the affected area. It's done under anesthesia.
This service was performed 12 times for 12 patientsThis procedure, known as arthroscopic knee surgery, involves using a small camera (endoscope) to view the inside of your knee. Small instruments are used to remove damaged cartilage. This can help alleviate pain and improve knee function.
This service was performed 17 times for 17 patientsThis procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
This service was performed 17 times for 12 patientsThis 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 39 times for 39 patientsThis procedure involves fixing damaged tendons in your finger or palm. Tendons connect muscles to bones, enabling movement. When injured, they require surgical repair to restore function. You'll be under anesthesia, and a surgeon will make small incisions to access and mend the tendon.
This service was performed 119 times for 90 patientsA knee joint replacement on one side, also known as unicompartmental knee replacement, is a surgical procedure where damaged parts of the knee joint are replaced with artificial parts. This helps to reduce pain and improve mobility. It's typically done under general anesthesia.
This service was performed 11 times for 11 patientsA bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
This service was performed 53 times for 52 patientsThis procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
This service was performed 17 times for 16 patientsA transfer of tendon to the back of the hand is a surgical procedure aimed at improving hand function. It involves moving a healthy tendon from one area to another to replace a damaged or non-functioning one, helping to restore movement and strength.
This service was performed 12 times for 12 patientsThis treatment involves repairing multiple fractures in the lower forearm near the thumb side of the wrist. A device is placed to stabilize the area, promoting proper healing. This procedure helps restore function and minimize discomfort.
This service was performed 11 times for 11 patientsCLIA 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
- 50D1010072
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- March 05, 2003
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- TIANA DORSEY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Proliance Eastside 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 EASTSIDE 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 1790724862, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
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 68 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790724862, enumerated as an "organization" on June 05, 2006.
The provider is located at 12911 120TH AVE NE STE H110 KIRKLAND, WA 98034 and the phone number is (425) 216-7000.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
The provider might be accepting Accepts: PacificSource Health Plans, Premera Blue Cross. Please consult your insurance carrier or call the provider to verify.