Franciscan Medical Group

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

FRANCISCAN MEDICAL GROUP

Doing business as

FMG-Franciscan Plastic & reconstructive Surgery

Practice address

11311 Bridgept Way SW
Ste 309
Lakewood, WA 98499-3071

Phone

(253) 985-6630

Fax

(253) 985-6631

NPI assigned

Jul 17, 2009

Organization subpart

Yes

Parent organization

FRANCISCAN MEDICAL GROUPAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dean A Field, MD

Title

Chief Medical Officer

Phone

(253) 680-4009

Specialties & licenses 1

Addresses

Other names 1

• FMG-Franciscan Plastic & reconstructive Surgery Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Part of

Franciscan Medical Grou

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247788800000",
    "number": "1093945677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11311 BRIDGEPT WAY SW",
            "address_2": "STE 309",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993071",
            "telephone_number": "253-985-6630",
            "fax_number": "253-985-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11311 BRIDGEPT WAY SW",
            "address_2": "STE 309",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993071",
            "telephone_number": "253-985-6630",
            "fax_number": "253-985-6631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCISCAN MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRANCISCAN MEDICAL GROUP",
        "enumeration_date": "2009-07-17",
        "last_updated": "2009-07-17",
        "status": "A",
        "authorized_official_last_name": "FIELD",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "253-680-4009",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FMG-Franciscan Plastic & reconstructive Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Franciscan Health System (Franciscan Compounding Pharmacy St. Clare)
• Franciscan Health System (Franciscan Home Medical Supply St. Clare)
• Franciscan Medical Group (FMG-Franciscan Acute Surgical Team)
• Franciscan Medical Group (FMG-Franciscan Orthopedics & Sports Medicine-St Clare)
• Franciscan Medical Group (The Lakewood Clinic)
• Franciscan Medical Group (Lakes Family Medicine-Lakewood)
• Franciscan Medical Group (Franciscan Prompt Care on Gravelly Lake)
• Franciscan Medical Group (NW Neurology)
• Franciscan Medical Group (The Lakewood Clinic)
• Franciscan Medical Group (FMG-Franciscan Behavioral Medicine)

• Plastic Surgery Physician in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Plastic Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2009; 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.

Verify at the official NPI Registry.