Organization Active NPI

Franciscan Medical Group

Doing business as FMG-Federal Way Orthopedic Associates

  • Orthopaedic Surgery Physician
  • Federal Way, WA
National Provider Identifier
1356560056
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
FRANCISCAN MEDICAL GROUP
Doing business as
FMG-Federal Way Orthopedic Associates
Franciscan Orthopedic Associates-St Francis
Practice address
34709 9TH Ave S Ste B500
Federal Way, WA 98003-6789
Phone
(253) 838-8552
Fax
(253) 874-6089
NPI assigned
Apr 24, 2007
Last updated
Sep 29, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
FRANCISCAN MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Authorized official

Name
Roberta Jo Wittorf
Title
Regional VP Finance, Northwest
Phone
(509) 551-5319

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary
Surgery Physician 208600000X NU

Addresses

Primary practice location

34709 9TH Ave S Ste B500
Federal Way, WA 98003-6789

Mailing address

34709 9TH Ave S Ste B500
Federal Way, WA 98003-6789
Phone (253) 838-8552

Other identifiers 2

IdentifierTypeStateIssuer
0219676OtherWASTATE L&I
7137094MedicaidWA

Other names 2

  • FMG-Federal Way Orthopedic Associates Doing business as
  • Franciscan Orthopedic Associates-St Francis Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031111000789 WA Part B Supplier - Clinic/Group Practice 0547173866 Receives reassigned benefits from 1,720 practitioners
This NPI is an additional NPI on the enrollment
O20100930016297 WA DME Supplier - Multi-Specialty - PhysicianDME Supplier - Physician - Orthopedic/Orthopedic SurgeryDME Supplier - Physician - Podiatry 0547173866 Practice locations: Federal Way, WA

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
CHI Franciscan Health

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790640000000",
    "number": "1356560056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34709 9TH AVE S STE B500",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036789",
            "telephone_number": "253-838-8552",
            "fax_number": "253-874-6089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34709 9TH AVE S STE B500",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036789",
            "telephone_number": "253-838-8552",
            "fax_number": "253-874-6089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCISCAN MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRANCISCAN MEDICAL GROUP",
        "enumeration_date": "2007-04-24",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A",
        "authorized_official_last_name": "WITTORF",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "REGIONAL VP FINANCE, NORTHWEST",
        "authorized_official_telephone_number": "509-551-5319"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE L&I",
            "identifier": "0219676",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7137094",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FMG-Federal Way Orthopedic Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Franciscan Orthopedic Associates-St Francis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; 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.