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Proliance Surgeons, Inc., P.S.

Otolaryngology/Facial Plastic Surgery Physician in Mount Vernon, WA · enumerated 2013 · authorized official David Fitzgerald, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1215368717

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Registry record

Entity type Organization (Type 2)
Legal business name Proliance Surgeons, Inc., P.S.
Other name <Unavail>
Practice address 111 S 13th St, Mount Vernon, WA, 98274
Fax (360) 336-2642
Enumeration date Dec 9, 2013
Last updated in NPPES Dec 11, 2013

Taxonomy & classification

207Y00000X Otolaryngology Physician Allopathic & Osteopathic Physicians · License 601484763 (WA) Secondary
207YS0123X Facial Plastic Surgery Physician Allopathic & Osteopathic Physicians · License 601484763 (WA) Secondary
207YX0007X Plastic Surgery within the Head & Neck (Otolaryngology) Physician Allopathic & Osteopathic Physicians · License 601484763 (WA) Secondary
207YX0602X Otolaryngic Allergy Physician Allopathic & Osteopathic Physicians · License 601484763 (WA) Secondary
207YX0905X Otolaryngology/Facial Plastic Surgery Physician Allopathic & Osteopathic Physicians · License 601484763 (WA) Primary
208200000X Plastic Surgery Physician Allopathic & Osteopathic Physicians · License 601484763 (WA) Secondary
2082S0099X Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician Allopathic & Osteopathic Physicians · License 601484763 (WA) Secondary
208600000X Surgery Physician Allopathic & Osteopathic Physicians · License 601484763 (WA) Secondary
2086S0122X Plastic and Reconstructive Surgery Physician Allopathic & Osteopathic Physicians · License 601484763 (WA) Secondary
2086X0206X Surgical Oncology Physician Allopathic & Osteopathic Physicians · License 601484763 (WA) Secondary
231H00000X Audiologist Speech, Language and Hearing Service Providers · License 601484763 (WA) Secondary
237600000X Audiologist-Hearing Aid Fitter Speech, Language and Hearing Service Providers · License 601484763 (WA) Secondary

Authorized official

Name David Fitzgerald
Title Ceo

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Proliance Surgeons, Inc., P.S.?
NPPES lists David Fitzgerald (Ceo) as the authorized official for this organization.
What is the NPI number for Proliance Surgeons, Inc., P.S.?
The NPI for Proliance Surgeons, Inc., P.S. is 1215368717, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-12-11.