Proliance Eastside Surgeons – Surgery Physician, NPI 1639118649

Proliance Eastside Surgeons is a healthcare provider. based in Seattle, Washington. specializing in Surgery Physician. The organization holds a License No. 601484763 (WA). The NPI Number for Proliance Eastside Surgeons is 1639118649

Main info

Organization
Name
Proliance Eastside Surgeons
NPI
1639118649
Phone
(206) 264-8100
Address
805 MADISON ST
Authorized Official
MR. DAVID G. FITZGERALD CEO
Enumeration Date
5 June 2006
Last Update Date
29 June 2011
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Proliance Eastside Surgeons

  • Metropolitan Deli & Cafe, 805, Madison Street, Central Business District, First Hill, Seattle, King County, Washington, 98104, United States

    SUITE 901

    SEATTLE, WA 981041172

    Phone: (206) 264-8100

    Fax: (206) 264-8689

    Type: Mailing

  • 6505, 226th Place Southeast, Issaquah, King County, Washington, 98027, United States

    SUITE 101

    ISSAQUAH, WA 980278905

    Phone: (425) 313-0775

    Fax: (425) 313-4704

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98104)

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Reviews

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Frequently asked questions

How is Proliance Eastside Surgeons identified in CMS data?
CMS-hosted NPPES data lists Proliance Eastside Surgeons with NPI 1639118649.
Can I rely on Proliance Eastside Surgeons being an active provider?
As of the registry snapshot, Proliance Eastside Surgeons is marked active.
What is Proliance Eastside Surgeons's specialty?
The listing groups Proliance Eastside Surgeons with Surgery Physician. Clinical services aligned with this taxonomy classification.
What address line appears for Proliance Eastside Surgeons?
Proliance Eastside Surgeons's geographic hint is Seattle, Washington in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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