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  5. PROLIANCE SURGEONS, INC., P.S.

PROLIANCE SURGEONS, INC., P.S.

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Company Details

Legal Name: PROLIANCE SURGEONS, INC., P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: August 11th 1993
Expiration date: 31 Aug 2026
UBI Number: 601 484 763
ZIP code: 98104
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 805 MADISON ST STE 901, SEATTLE, WA, 98104-1172, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $20,634,068

Contact Details

E-Mail: BUSINESSLICENSE@PROLIANCESURGEONS.COM
Phone Number: +1 206-264-8100

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role
C T CORPORATION SYSTEM Registered Agent

Key Officers & Management

Name Role
CAROL CORNEJO Governing Person
BRIAN CAMERON Governing Person
JOHN PRYOR Governing Person
DOUGLAS BACKOUS Governing Person
MICHAEL SAILER Governing Person
MATTHEW JENKINS Governing Person
SAMSON LEE Governing Person
JASON THOMPSON Governing Person
WAYNE WEIL Governing Person

Links between entities

Type:
Headquarter of
Company Number:
10140493
State:
ALASKA
ALASKA profile:
PROLIANCE SURGEONS, INC., P.S. (AK)

Unique Entity ID

Unique Entity ID:
MHUCY2LAEH16
CAGE Code:
611U9
UEI Expiration Date:
2026-02-24

Business Information

URL:
www.proliancesurgeons.com
Division Name:
PROLIANCE SURGEONS, INC. P.S.
Division Number:
0100
Activation Date:
2025-02-26
Initial Registration Date:
2010-06-03

Commercial and government entity program

CAGE number:
611U9
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2025-02-26
SAM Expiration:
2026-02-24
CAGE Link:
View company profile on CAGE website

Contact Information

POC:
PEGGY WELLMAN
Corporate URL:
www.proliancesurgeons.com

National Provider Identifier

NPI Number:
1275345456
Certification Date:
2025-01-23
Link:
View on NPI website

Authorized Person:

Name:
MRS. CORI M. PLEASANT
Role:
DEL CRED & ENROLLMENT MANAGER
Phone:
2068382585

Taxonomy:

Selected Taxonomy:
213E00000X - Podiatrist
Is Primary:
Yes

Contacts:

Phone:
+1 425-337-7000
Fax:
4253382408

Form 5500 Series

Employer Identification Number (EIN):
911606533
Plan Year:
2023
Number Of Participants:
1425
Plan Name:
HEALTHCARE PLAN
Sponsor's telephone number:
2062648100
File:
View File
Plan Administrator / Signatory:
MISTY CHURCHWARD(Plan administrator)
Plan Year:
2022
Number Of Participants:
1439
Plan Name:
HEALTHCARE PLAN
Sponsor's telephone number:
2062648100
File:
View File
Plan Administrator / Signatory:
MISTY BENDER(Plan administrator)
Plan Year:
2012
Number Of Participants:
30
Sponsor's telephone number:
5099461654
File:
View File
Plan Administrator / Signatory:
JOHN W. STAEHELI(Plan administrator)
Plan Year:
2012
Number Of Participants:
47
Sponsor's telephone number:
5099461654
File:
View File
Plan Administrator / Signatory:
JOHN W. STAEHELI(Plan administrator)
Plan Year:
2012
Number Of Participants:
43
Sponsor's telephone number:
5099461654
File:
View File
Plan Administrator / Signatory:
JOHN W. STAEHELI(Plan administrator)

USAspending Awards / Contracts

Procurement Instrument Identifier:
DJBP0611LB210024
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
PO
Action Obligation:
$7,713.6
Base And Exercised Options Value:
$7,713.6
Base And All Options Value:
$7,713.6
Awarding Agency Name:
Department of Justice
Performance Start Date:
2012-09-24
Description:
IGF::OT::IGF OUTSIDE MEDICAL TRIP SURGEON
Naics Code:
621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product Or Service Code:
Q523: MEDICAL- SURGERY
Procurement Instrument Identifier:
DJBP0611JB210018
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
PO
Action Obligation:
$-4,376.34
Base And Exercised Options Value:
$-4,376.34
Base And All Options Value:
$-4,376.34
Awarding Agency Name:
Department of Justice
Performance Start Date:
2010-08-04
Description:
OUTSIDE MEDICAL TRIP SURGEON
Naics Code:
621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product Or Service Code:
Q523: SURGERY SERVICES

Court Cases

Filing Date:
2023-12-04
Status:
Terminated
Nature Of Judgment:
no monetary award
Jury Demand:
Plaintiff demands jury
Nature Of Suit:
Other Personal Injury
Parties:
WILEY LLC - Plaintiff
PROLIANCE SURGEONS, INC., P.S. - Defendant
Filing Date:
2023-12-04
Status:
Terminated
Nature Of Judgment:
no monetary award
Jury Demand:
Plaintiff demands jury
Nature Of Suit:
Other Personal Injury
Parties:
TRACI M BARNES , - Plaintiff
PROLIANCE SURGEONS, INC., P.S. - Defendant
Filing Date:
2023-12-04
Status:
Terminated
Nature Of Judgment:
no monetary award
Jury Demand:
Plaintiff demands jury
Nature Of Suit:
Other Personal Property Damage
Parties:
LEVY, INC. - Plaintiff
PROLIANCE SURGEONS, INC., P.S. - Defendant

Trademarks

Serial Number:
90310898
Mark:
PROLIANCE SURGEONS
Status:
Registered. The registration date is used to determine when post-regi...
Mark Type:
Service Mark
Application Filing Date:
2020-11-10
Mark Drawing Type:
4 - STANDARD CHARACTER MARK
Mark Literal Elements:
PROLIANCE SURGEONS
USPTO Link:
View Trademark on United States Patent and Trademark Office Website

Goods And Services

For:
Medical services and medical specialty physician services, namely, Otolaryngology (ENT) and Audiology, General Surgery, Neurosurgery, OB/GYN, Occupational Medic...
First Use:
2002-01-31
International Classes:
044 - Primary Class
Class Status:
ACTIVE
Serial Number:
87675759
Mark:
PROLIANCE PARK
Status:
Abandoned because the applicant filed an express abandonment. To view...
Mark Type:
Service Mark
Application Filing Date:
2017-11-07
Mark Drawing Type:
4 - STANDARD CHARACTER MARK
Mark Literal Elements:
PROLIANCE PARK
USPTO Link:
View Trademark on United States Patent and Trademark Office Website

Goods And Services

For:
Arena services, namely, providing facilities for business events, consumer shows, trade shows, artistic activities, community activities, entertainment events, ...
International Classes:
043 - Primary Class
Class Status:
ACTIVE
Serial Number:
87675758
Mark:
PROLIANCE PARK
Status:
Abandoned because the applicant filed an express abandonment. To view...
Mark Type:
Service Mark
Application Filing Date:
2017-11-07
Mark Drawing Type:
4 - STANDARD CHARACTER MARK
Mark Literal Elements:
PROLIANCE PARK
USPTO Link:
View Trademark on United States Patent and Trademark Office Website

Goods And Services

For:
Community service programs to promote the sport of baseball; restaurant, catering and bar services
International Classes:
042 - Primary Class
Class Status:
ACTIVE
Serial Number:
87675757
Mark:
PROLIANCE PARK
Status:
Abandoned because the applicant filed an express abandonment. To view...
Mark Type:
Service Mark
Application Filing Date:
2017-11-07
Mark Drawing Type:
4 - STANDARD CHARACTER MARK
Mark Literal Elements:
PROLIANCE PARK
USPTO Link:
View Trademark on United States Patent and Trademark Office Website

Goods And Services

For:
Providing stadium facilities for sports and entertainment; arranging and conducting athletic competitions; entertainment in the nature of sporting events and at...
International Classes:
041 - Primary Class
Class Status:
ACTIVE
Serial Number:
87675753
Mark:
PROLIANCE PARK
Status:
Abandoned because the applicant filed an express abandonment. To view...
Mark Type:
Trademark
Application Filing Date:
2017-11-07
Mark Drawing Type:
4 - STANDARD CHARACTER MARK
Mark Literal Elements:
PROLIANCE PARK
USPTO Link:
View Trademark on United States Patent and Trademark Office Website

Goods And Services

For:
Clothing; namely, shirts, t-shirts, jerseys, shorts, dresses, skirts, jogging suits, warm-up suits, sweatpants, sweatshirts, bottoms, athletic uniforms, socks, ...
International Classes:
025 - Primary Class
Class Status:
ACTIVE

Facilities

FRS ID:
110022439878
Facility Address:
515 MINOR AVE, SEATTLE, KING, WA, 98104
Link:
View a detailed facility report on Enforcement and Compliance History (ECHO)

Facility NAICS Codes

System:
RCRAINFO
Identifier:
WAH000026246
NAICS Code:
621111

Related by address

805 MADISON ST STE 901, SEATTLE, WA, 98104-1172, UNITED STATES

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