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PLASTIC & RECONSTRUCTIVE SURGEONS
NPI 1841610169
Plastic Surgery in Renton, WA

Active since April 25, 2014
17930 TALBOT RD S, RENTON, WA 98055(425) 228-3187(425) 228-7972 Get Directions Write a Review

NPPES record last updated: July 28, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 28, 2022, May 28, 2021 (2 updates tracked since 2021).

About Plastic & Reconstructive Surgeons NPPES

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

PLASTIC & RECONSTRUCTIVE SURGEONS (NPI 1841610169) is a healthcare organization registered as a plastic surgery in Renton, Washington and active in the NPI registry since April 2014. The organization maintains a secondary practice location in Maple Valley and lists Laura Kleisle, Chief Risk Officer, as its authorized official.

NPPES Registry Identity

NPI1841610169
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NamePROLIANCE SURGEONS, INC., P.S.
Location Address17930 TALBOT RD SRenton, WA 98055-6230
Mailing Address17930 Talbot Rd SRenton, WA 98055-6230 · (425) 228-3187 · Fax (204) 228-7972
Phone(425) 228-3187
Fax(425) 228-7972
Organization SubpartNo
Authorized OfficialLaura KleisleChief Risk Officer · (206) 838-2590
Enumeration DateApril 25, 2014
Last NPPES UpdateJuly 28, 20222 updates tracked since enumeration
NPPES CertifiedJuly 28, 2022
✔ NPI 1841610169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in WA · 601484763
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
17930 TALBOT RD S, Renton, WA 98055
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Other Names 1

Doing Business AsPlastic & Reconstructive Surgeons

Secondary Practice Location 1

Location 123925 225th Way SE Ste BMaple Valley, WA 98038-5291 · Phone (425) 228-3187 · Fax (425) 228-7972

Other Identifiers 2

Medicaid2036917WA
Other326119WA · Wa L&i

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Other Providers at the Same Location NPPES 10

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

CHAD MICHAEL BAILEY MD
Plastic Surgery
17930 TALBOT RD S
RENTON, WA 98055
King County (425) 228-3187
DR. WALLACE HAN JEN CHANG M.D.
Surgery (Plastic and Reconstructive Surgery)
17930 TALBOT RD S
RENTON, WA 98055
King County (425) 228-3187
BAILEY NICOLE PLATT ARNP
Nurse Practitioner
17930 TALBOT RD S
RENTON, WA 98055
King County (425) 228-3187
DR. TRENTON MATTHEW MORTON M.D.
Plastic Surgery
17930 TALBOT RD S
RENTON, WA 98055
King County (425) 228-3187
PROLIANCE SURGEONS INC PS
Clinic/Center (Ambulatory Surgical)
17930 TALBOT RD S
RENTON, WA 98055
King County (425) 228-3187
DR. JONATHAN JAMES HUTTER M.D.
Surgery (Plastic and Reconstructive Surgery)
17930 TALBOT RD S
RENTON, WA 98055
King County (425) 228-3187
GRACE T UM MD
Surgery (Plastic and Reconstructive Surgery)
17930 TALBOT RD S
RENTON, WA 98055
King County (425) 228-3187
DR. DAVID TETER BARKER M.D.
Surgery (Plastic and Reconstructive Surgery)
17930 TALBOT RD S
RENTON, WA 98055
King County (425) 228-3187

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 1841610169. It was assigned to this organization in the NPPES registry on April 25, 2014. The provider is doing business as Plastic & Reconstructive Surgeons.

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

Proliance Surgeons, Inc., P.S. is located at 17930 Talbot Rd S, Renton, WA 98055. The listed phone number is (425) 228-3187.

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

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

What insurance does Proliance Surgeons, Inc., P.S. accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Proliance Surgeons, Inc., P.S. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Proliance Surgeons, Inc., P.S. was last updated on July 28, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.