Proliance Surgeons Inc P S
NPI 1124500293ActiveOrganization· Orthopaedic Surgery· Issaquah, WA
Orthopaedic Surgery in Issaquah, Washington, registered in NPPES in September 2018. The authorized official on file is Kenneth G. Overbey, Coo. Enrolled in Medicare as dme supplier - physician - orthopedic/orthopedic surgery.
Overview
| NPI | 1124500293 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 5, 2018 |
| Last updated in NPPES | Oct 30, 2025 |
| Certified by provider | Oct 30, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | 601484763 | WA |
| Physical Medicine & Rehabilitation | 208100000X | 601484763 | WA |
| Physician Assistant, Surgical | 363AS0400X | 601484763 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Orthopedic/Orthopedic Surgery (WA) |
|---|
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