{"npi":"1407223985","type":"NPI-2","status":"active","name":{"display":"Proliance Surgeons, Inc., P.S.","other":[],"organization_name":"PROLIANCE SURGEONS, INC., P.S.","authorised_official":"Cori Pleasant"},"specialty":{"primary_taxonomy":"207Y00000X","primary_taxonomy_description":"Otolaryngology Physician","slug":"otolaryngology-physician","schema_org_specialty":null,"all":[{"code":"207KA0200X","description":"Allergy Physician","primary":false,"state":"WA","license":"601484763"},{"code":"231H00000X","description":"Audiologist","primary":false,"state":"WA","license":"601484763"},{"code":"261QM1300X","description":"Multi-Specialty Clinic/Center","primary":false,"state":null,"license":null},{"code":"207Y00000X","description":"Otolaryngology Physician","primary":true,"state":"WA","license":"601484763"}]},"addresses":[{"purpose":"LOCATION","street_1":"104 27TH AVE SE","city":"PUYALLUP","state":"WA","postal_code":"983741145","country_code":"US","phone":"2537709712","fax":"2537709712"},{"purpose":"MAILING","street_1":"PO BOX 1205","city":"PUYALLUP","state":"WA","postal_code":"983710231","country_code":"US","phone":"2537709000"}],"license":{"state":"WA","number":"601484763"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"2049207","state":"WA","issuer":null},{"type_code":"01","label":"Other","value":"345481","state":"WA","issuer":"LABOR & INDUSTRIES"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2015-08-31","last_updated":"2024-05-31","_meta":{"source":"NPPES","snapshot_date":"2024-05-31","doc_url":"https://findmynpi.com/api"}}