PLASTIC & RECONSTRUCTIVE SURGEONS – NPI #1841610169
Plastic Surgery

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.

PLASTIC & RECONSTRUCTIVE SURGEONS is a plastic surgeon located in RENTON, WA. NPPES has assigned the NPI number 1841610169 to PLASTIC & RECONSTRUCTIVE SURGEONS on April 25, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PLASTIC & RECONSTRUCTIVE SURGEONS” is a dba name, the actual legal business name for this organization is PROLIANCE SURGEONS, INC., P.S.. The primary taxonomy selected by this provider is 208200000X from the Health Care Provider Taxonomy code set, which is classified as Plastic Surgery.

The NPI profile was previously updated about 4 years ago on Jul 28, 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 PLASTIC & RECONSTRUCTIVE SURGEONS below.

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

NPI Number
1841610169
Enumeration Date

(more than 12 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): PLASTIC & RECONSTRUCTIVE SURGEONS
Primary location
17930 TALBOT RD S
RENTON, WA 98055-6230
Phone: (425) 228-3187 Fax: (425) 228-7972
1 Other location(s):
23925 225th Way SE Ste B
Maple Valley, WA 98038-5291
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
Jul 28, 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 PLASTIC & RECONSTRUCTIVE SURGEONS

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 L&IWA326119
MEDICAIDWA2036917
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
208200000X
- Plastic Surgery (Primary)
WA 601484763

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.