PROLIANCE PUGET SOUND ORTHOPAEDICS - NPI 1891799490 - Orthopaedic Surgery in Lakewood, WA

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

The NPI number for Proliance Surgeons, Inc., P.S. is 1891799490. It was assigned to this organization in the NPPES registry on June 10, 2005. The provider is doing business as Proliance Puget Sound Orthopaedics.

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

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

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About Proliance Puget Sound Orthopaedics NPPES

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

PROLIANCE PUGET SOUND ORTHOPAEDICS (NPI 1891799490) is a healthcare organization registered as an orthopaedic surgery in Lakewood, Washington and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through April 4, 2028, maintains 3 additional practice locations, and lists Cori M. Pleasant, Mgr Provider Relations/enrollment, as its authorized official.

NPPES Registry Identity

NPI1891799490

Entity TypeOrganization

Primary Taxonomy207X00000X

Legal Business NamePROLIANCE SURGEONS, INC., P.S.

Location Address7308 BRIDGEPORT WAY W STE 201Lakewood, WA 98499-8000

Mailing Address7308 Bridgeport Way W Ste 201Lakewood, WA 98499-8000 · (253) 582-7257 · Fax (253) 582-1617

Phone(253) 582-7257

Fax(253) 582-1617

Organization SubpartNo

Authorized OfficialCori M. PleasantMgr Provider Relations/enrollment · (206) 838-2585

Enumeration DateJune 10, 2005

Last NPPES UpdateAugust 23, 20224 updates tracked since enumeration

NPPES CertifiedAugust 23, 2022

✔ NPI 1891799490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Hand SurgeryTaxonomy 207XS0106X

Also ListedOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryTaxonomy 207XS0114X

Also ListedOrthopaedic Surgery · Orthopaedic Surgery of the SpineTaxonomy 207XS0117X

Also ListedOrthopaedic Surgery · Foot and Ankle SurgeryTaxonomy 207XX0004X

Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X

Also ListedClinic/Center · Magnetic Resonance Imaging (MRI)Taxonomy 261QM1200X

Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X

7308 BRIDGEPORT WAY W STE 201, Lakewood, WA 98499

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Other Names 1

Doing Business AsProliance Puget Sound Orthopaedics

Secondary Practice Locations 3

Location 11724 W Union Ave Ste B-100Tacoma, WA 98405-2099 · Phone (253) 830-5215 · Fax (253) 830-5219

Location 21724 W Union Ave Ste 100Tacoma, WA 98405-2099 · Phone (253) 830-5200 · Fax (253) 752-1160

Location 32727 Hollycroft St Ste 410Gig Harbor, WA 98335-1369 · Phone (253) 358-4002 · Fax (253) 358-4015

Other Identifiers 2

Medicaid1046089WA

Other222246WA · Wa L&i

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

Accepted Insurance

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2025752

Proliance Puget Sound Orthopaedics · Tacoma, WA

Active · expires Apr 4, 2028

CLIA Number50D2025752

Laboratory TypeClinic

Certificate Effective DateJune 16, 2011

Certificate Expiration DateApril 4, 2028

Laboratory DirectorJohn Blair

Laboratory Phone(253) 264-8100

Laboratory LocationProliance Puget Sound Orthopaedics1724 W Union Ave Ste 100, Tacoma, WA 98405

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

DR. ALBERT MAX D'HEURLE M.D.

Orthopaedic Surgery