PROLIANCE SURGEONS PUGET SOUND ENT – NPI #1770764342
Otolaryngology

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

PROLIANCE SURGEONS PUGET SOUND ENT is an otolaryngologist located in EDMONDS, WA. NPPES has assigned the NPI number 1770764342 to PROLIANCE SURGEONS PUGET SOUND ENT on November 23, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PROLIANCE SURGEONS PUGET SOUND ENT” is a dba name, the actual legal business name for this organization is PROLIANCE SURGEONS, INC., P.S.. According to the NPI Registry, there are 4 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Y00000X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology.

The NPI profile was previously updated about 4 years ago on Nov 01, 2022. 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 PROLIANCE SURGEONS PUGET SOUND ENT below.

NPI Profile for
PROLIANCE SURGEONS, INC., P.S.

NPI Number
1770764342
Enumeration Date

(more than 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., P.S.
Doing Business As (dba): PROLIANCE SURGEONS PUGET SOUND ENT
Primary location
21911 76TH AVE W STE 211
EDMONDS, WA 98026-7918
Phone: (425) 775-6651 Fax: (425) 670-6718
4 Other location(s):
13020 Meridian Ave S Fl 2
Everett, WA 98208-6468
Phone: (425) 775-6651
Fax: (425) 670-6718
104 27th Ave SE
Puyallup, WA 98374-1145
Phone: (425) 775-6651
Fax: (425) 670-6718
515 Minor Ave Ste 140
Seattle, WA 98104-2138
Phone: (425) 775-6651
Fax: (425) 670-6718
515 Minor Ave Ste 150
Seattle, WA 98104-2144
Phone: (425) 775-6651
Fax: (425) 670-6718
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CORI PLEASANT
MGR PROVIDER RELATIONS/ENROLLMENT
Phone: (206) 838-2585
Updated
Certification Date
Nov 01, 2022

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 PROLIANCE SURGEONS PUGET SOUND ENT

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
otherLABOR & INDUSTRIESWA227718
medicaidWA1060556
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
207Y00000X
- Otolaryngology (Primary)
WA 601484763
261QM1300X
- Clinic/Center / Multi-Specialty
231H00000X
- Audiologist
WA 601484763
207YX0901X
- Otolaryngology / Otology & Neurotology

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.