PROLIANCE EVERETT BONE AND JOINT SURGERY CENTER
NPI 1760421846
Clinic/Center - Ambulatory Surgical in Everett, WA
NPI Status: Active since June 05, 2006
Contact Information
1100 PACIFIC AVE STE 100
EVERETT, WA
ZIP 98201
Phone: (425) 317-8535
Fax: (425) 317-8628
- Organization
- Clinic/Center
- Ambulatory Surgical
- Accepts Insurance
- Medicare Supplier
- Accepts Medicare Approved Payment
- CLIA Number: 50D1072079
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 04-04-2028
About PROLIANCE EVERETT BONE AND JOINT SURGERY CENTER
This page provides the complete NPI Profile along with additional information for Proliance Everett Bone And Joint Surgery Center, a provider established in Everett, Washington operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1760421846 assigned on June 2006. The practitioner's primary taxonomy code is 261QA1903X with license number 601484763 (WA). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Proliance Everett Bone And Joint Surgery Center. The authorized official of this NPI record is Cori M. Pleasant (Del Cred & Enrollment Manager)
- NPI
- 1760421846
- Provider Legal Name
- PROLIANCE SURGEONS, INC., P.S.
- Other Organization Name
- PROLIANCE EVERETT BONE AND JOINT SURGERY CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1100 PACIFIC AVE STE 100 EVERETT, WA 98201
- Location Phone
- (425) 317-8535
- Location Fax
- (425) 317-8628
- Mailing Address
- 1100 PACIFIC AVE STE 300 EVERETT, WA 98201
- Mailing Phone
- (425) 339-2433
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-05-2006
- Last Update Date
- 12-06-2023
- Code Navigator
Proliance Everett Bone And Joint Surgery Center is a medicare supplier with PTAN 26717188 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Traction Equipment or Canes and/or Crutches or Walkers or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
- License No.
- 601484763
- License State
- WA
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 137868 | OTHER (01) | WA | WA LABOR & INDUSTRIES |
| 2093710 | MEDICAID (05) | WA |
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Destruction of peripheral nerve or branch
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment
Release of tendon connecting biceps muscle and shoulder using an endoscope
Release of wrist ligament using an endoscope
Destruction of a peripheral nerve or branch is a procedure to treat nerve-related pain. It involves using heat, cold, or chemicals to damage or destroy the nerve, thereby blocking pain signals to the brain. This can provide long-term pain relief.
This service was performed 63 times for 13 patientsThis procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.
This service was performed 19 times for 19 patientsThis procedure involves using a small camera, known as an endoscope, to view and release the tendon connecting your biceps muscle and shoulder. It can help reduce pain and improve mobility. The procedure is minimally invasive, promoting quicker recovery.
This service was performed 14 times for 14 patientsThis procedure involves using a small camera, called an endoscope, to view and treat a tight wrist ligament. The endoscope is inserted through a tiny incision, reducing recovery time and scarring. It helps to relieve pain and improve wrist function.
This service was performed 16 times for 15 patientsMedical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 26717188
- Accepts Medicare Assignment
- YES
- Provider Type List
- PHYSICIAN ASSISTANT, PHYSICIAN – ORTHOPEDIC/ORTHOPEDIC SURGERY.
- Competitive Bidding
- NO
Supplies List
- Traction Equipment - Traction tables, Traction machines, Inversion tables
- Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
- Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
- Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
- Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 50D1072079
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- August 08, 2007
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- TODD HAVENER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Proliance Everett Bone And Joint Surgery Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for PROLIANCE EVERETT BONE AND JOINT SURGERY CENTER
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 6 | 0 | 4 | 2 | 1 | 8 | 4 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 12 | 0 | 8 | 2 | 2 | 8 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 2 + 0 + 8 + 2 + 2 + 8 + 8 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1760421846 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760421846, enumerated in the NPI registry as an "organization" on June 05, 2006
The provider is located at 1100 Pacific Ave Ste 100 Everett, Wa 98201 and the phone number is (425) 317-8535
This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska, Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The most common procedures or services performed by this practitioner are: Destruction of peripheral nerve or branch, Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment, Release of tendon connecting biceps muscle and shoulder using an endoscope and Release of wrist ligament using an endoscope.
The provider's CLIA number is 50D1072079 for a "ambulatory surgery center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on June 05, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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