Franciscan Medical Group

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

FRANCISCAN MEDICAL GROUP

Practice address

2200 NW Myhre Rd
Silverdale, WA 98383-7681

Phone

(360) 830-1100

NPI assigned

Aug 4, 2016

Organization subpart

No

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

Authorized official

Name

Mike Fitzgerald

Title

Cfo

Phone

(253) 680-4005

Specialties & licenses 1

Addresses

Other names 1

• The Doctors Clinic Ambulatory Surgical Center, A Part of the Francisca Doing business as

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478131200000",
    "number": "1164976478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 NW MYHRE RD",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837681",
            "telephone_number": "360-830-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 NW MYHRE RD",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837681",
            "telephone_number": "360-830-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCISCAN MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-04",
        "last_updated": "2016-11-03",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "253-680-4005"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Doctors Clinic Ambulatory Surgical Center, A Part of the Francisca",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen Derrick Fowler, M.D.
• Nicole Suzanne Douthett Fox, LICSW
• Kaitlyn Kristy Fraley
• Franciscan Health System
• Franciscan Medical Group
• Franciscan Medical Group
• Marie Ann Franckowiak, L.M.P.
• Franklin Chiropractic PS
• Bradley Aaron Franklin, DR BRADLEY FRANKLIN
• Keegan J Franks, RN

• Ambulatory Surgical Clinic/Center in Silverdale, WA
• Providers in Silverdale, WA by specialty
• Ambulatory Surgical Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.