PROLIANCE ORTHOPEDIC ASSOCIATES
NPI 1962894626
Orthopaedic Surgery in Maple Valley, WA

NPI Status: Active since March 04, 2015

Contact Information

24060 SE KENT KANGLEY RD
MAPLE VALLEY, WA
ZIP 98038
Phone: (253) 358-7708
Fax: (425) 656-5047

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  • Organization
  • Orthopaedic Surgery
  • Accepts Insurance
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About PROLIANCE ORTHOPEDIC ASSOCIATES

This page provides the complete NPI Profile along with additional information for Proliance Orthopedic Associates, a provider established in Maple Valley, Washington operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1962894626 assigned on March 2015. The practitioner's primary taxonomy code is 207X00000X with license number 601484763 (WA). The provider is registered as an organization and their NPI record was last updated 5 years ago. Proliance Orthopedic Associates operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Proliance Orthopedic Associates. The authorized official of this NPI record is Mrs. Laura Kleisle (Chief Risk Officer)

NPI
1962894626
Provider Legal Name
PROLIANCE SURGEONS, INC., P.S.
Other Organization Name
PROLIANCE ORTHOPEDIC ASSOCIATES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
24060 SE KENT KANGLEY RD MAPLE VALLEY, WA 98038
Location Phone
(253) 358-7708
Location Fax
(425) 656-5047
Mailing Address
4011 TALBOT RD S STE 300 RENTON, WA 98055
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-04-2015
Last Update Date
05-28-2021
Code Navigator



Proliance Orthopedic Associates is a medicare supplier with PTAN 20658365 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: Custom Fabricated 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

Orthopaedic Surgery

Taxonomy Code
207X00000X
Type
Allopathic & Osteopathic Physicians
License No.
601484763
License State
WA
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207QS0010XAllopathic & Osteopathic Physicians

Family Medicine
Sports Medicine

 
22083X0100XAllopathic & Osteopathic Physicians

Preventive Medicine
Occupational Medicine

 
3363AS0400XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Surgical

 
4363LF0000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Family

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

*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

MRS. LAURA KLEISLE

Authorized Official Title
CHIEF RISK OFFICER
Authorized Official Phone
(206) 838-2590

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20658365
Accepts Medicare Assignment
YES
Provider Type List
PHYSICIAN ASSISTANT, PHYSICIAN – ORTHOPEDIC/ORTHOPEDIC SURGERY, PHYSICIAN – PHYSICAL AND REHABILITATION, MULTI-SPECIALTY - PHYSICIAN.
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: Custom Fabricated - Custom met pads, Custom heel pads, Custom heel spur pads
  • Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads

Reviews for PROLIANCE ORTHOPEDIC ASSOCIATES

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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 1962894626, 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 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 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
9
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
2
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
9
Unchanged
Pos 7
4
Doubled → 8
Pos 8
6
Unchanged
Pos 9
2
Doubled → 4
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 8 → 16 → 7 4 → 8 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 2 + 2 + 1 + 6 + 9 + 8 + 6 + 4 + 24 = 74

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

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1962894626.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Physical Therapist
24060 SE KENT KANGLEY RD, D-100
MAPLE VALLEY, WA 98038
Massage Therapist
24060 SE KENT KANGLEY RD, D-100
MAPLE VALLEY, WA 98038
Physical Therapist
24060 SE KENT KANGLEY RD, SUITE D100
MAPLE VALLEY, WA 98038
Physical Therapist
24060 SE KENT KANGLEY RD, SUITE D100
MAPLE VALLEY, WA 98038
Physical Therapist
24060 SE KENT KANGLEY RD, SUITE D100
MAPLE VALLEY, WA 98038
Massage Therapist
24060 SE KENT KANGLEY RD, SUITE D100
MAPLE VALLEY, WA 98038
Physical Therapist
24060 SE KENT KANGLEY RD, SUITE D 100
MAPLE VALLEY, WA 98038
Dietitian, Registered
24060 SE KENT KANGLEY RD
MAPLE VALLEY, WA 98038
Massage Therapist
24060 SE KENT KANGLEY RD, SUITE D100
MAPLE VALLEY, WA 98038
Nutritionist
24060 SE KENT KANGLEY RD, SUITE D100
MAPLE VALLEY, WA 98038

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962894626, enumerated as an "organization" on March 04, 2015.

The provider is located at 24060 SE KENT KANGLEY RD MAPLE VALLEY, WA 98038 and the phone number is (253) 358-7708.

Orthopaedic Surgery with taxonomy code 207X00000X.

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