Active NPI
Franciscan Medical Group
- Sports Medicine (Orthopaedic Surgery) Physician
- Lakewood, WA
National Provider Identifier
1093009508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- Legal business name
- FRANCISCAN MEDICAL GROUP
- Practice address
- 11311 Bridgeport Way SW
Ste 205
Lakewood, WA 98499-3071 - Phone
- (253) 985-2744
- NPI assigned
- Jun 1, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dean Field, MD
- Title
- Coo
- Phone
- (253) 858-9192
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | Primary |
Addresses
Primary practice location
11311 Bridgeport Way SW
Ste 205
Lakewood, WA 98499-3071
Mailing address
11311 Bridgeport Way SW
Ste 205
Lakewood, WA 98499-3071
Phone (253) 985-2744
Other names 1
- FMG-Franciscan Orthopedics & Sports Medicine-St Clare
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
11311 Bridgeport Way SW
Ste 205
Tacoma, WA 98499
Phone (253) 512-2744
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Gig Harbor, WA
- NPI 1154409621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306886400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1306886400000",
"number": "1093009508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11311 BRIDGEPORT WAY SW",
"address_2": "STE 205",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984993071",
"telephone_number": "253-985-2744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11311 BRIDGEPORT WAY SW",
"address_2": "STE 205",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984993071",
"telephone_number": "253-985-2744"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRANCISCAN MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-01",
"last_updated": "2011-06-01",
"status": "A",
"authorized_official_last_name": "FIELD",
"authorized_official_first_name": "DEAN",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "253-858-9192",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "FMG-Franciscan Orthopedics & Sports Medicine-St Clare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lakewood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.