| NPI | 1164461018 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-06-06 |
| Last Updated | 2011-11-01 |
| Authorized Official | David Fitzgerald CEO Phone: 2068382599 |
| Mailing Address | 805 Madison St., Suite 901 Seattle, WA 98104-1172 United States Phone: (206) 264-8100 | Fax: (206) 264-8689 📍 View Map |
| Primary Practice Address | 3124 South 19th St., Suite 220 Tacoma, WA 98405-2433 United States Phone: (253) 301-5050 | Fax: (253) 301-5070 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 208600000X – Surgery | WA | 601484763 |
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About NPI 1164461018
Proliance Surgeons Inc P S is an organization registered in the CMS NPPES NPI Registry with NPI number 1164461018. The primary specialty listed is Surgery. The organization is located in Tacoma, WA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-06-06. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1164461018?
NPI 1164461018 belongs to Proliance Surgeons Inc P S, a Surgery in Tacoma, WA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1164461018 active?
The current status of NPI 1164461018 in the NPPES registry is Active. The record was last updated on 2011-11-01.
What specialty is NPI 1164461018?
NPI 1164461018 is classified under the taxonomy Surgery. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1164461018?
You can verify NPI 1164461018 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1164461018?
The primary practice address on file for NPI 1164461018 is 3124 South 19th St., Tacoma, WA 98405-2433. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1164461018 issued?
NPI 1164461018 was first issued (enumerated) on 2006-06-06. The NPPES record was last updated on 2011-11-01.
Practice Location Map
Proliance Surgeons Inc P S is located at 3124 South 19th St., Tacoma, WA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Proliance Surgeons Inc P S. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1164461018. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Surgery | 601484763 | WA |