PLASTIC & RECONSTRUCTIVE SURGEONS ASC – NPI #1316109309
Clinic/Center

PLASTIC & RECONSTRUCTIVE SURGEONS ASC is an AHC clinic located in RENTON, WA. NPPES has assigned the NPI number 1316109309 to PLASTIC & RECONSTRUCTIVE SURGEONS ASC on June 30, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PLASTIC & RECONSTRUCTIVE SURGEONS ASC” is a dba name, the actual legal business name for this organization is PROLIANCE SURGEONS INC PS. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 5 years ago on May 27, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PLASTIC & RECONSTRUCTIVE SURGEONS ASC below.

NPI Profile for
PROLIANCE SURGEONS INC PS

NPI Number
1316109309
Enumeration Date

(about 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PROLIANCE SURGEONS INC PS
Doing Business As (dba): PLASTIC & RECONSTRUCTIVE SURGEONS ASC
Primary location
17930 TALBOT RD S
RENTON, WA 98055-6230
Phone: (425) 228-3187 Fax: (425) 228-7972
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LAURA KLEISLE
CHIEF RISK OFFICER
Phone: (206) 838-2590
Updated
Certification Date
May 27, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for PLASTIC & RECONSTRUCTIVE SURGEONS ASC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERWA LABOR & INDUSTRIESWA344913
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.