Franciscan Medical Group

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

FRANCISCAN MEDICAL GROUP

Doing business as

FMG-Franciscan Behavioral Medicine

Practice address

11311 Bridgeport Way SW
Ste 307
Lakewood, WA 98499-3071

Phone

(253) 779-6215

Fax

(253) 779-6191

NPI assigned

Apr 23, 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 Field, MD

Title

Chief Medical Officer

Phone

(253) 858-9192

Specialties & licenses 1

Addresses

Other names 1

• FMG-Franciscan Behavioral Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Part of

Enumclaw Medical Center

Locations

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240444800000",
    "number": "1366686198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11311 BRIDGEPORT WAY SW",
            "address_2": "STE 307",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993071",
            "telephone_number": "253-779-6215",
            "fax_number": "253-779-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11311 BRIDGEPORT WAY SW",
            "address_2": "STE 307",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993071",
            "telephone_number": "253-779-6215",
            "fax_number": "253-779-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCISCAN MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRANCISCAN MEDICAL GROUP",
        "enumeration_date": "2009-04-23",
        "last_updated": "2009-04-23",
        "status": "A",
        "authorized_official_last_name": "FIELD",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "253-858-9192",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FMG-Franciscan Behavioral Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Franciscan Medical Group (FMG-Franciscan Plastic & reconstructive Surgery)
• 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 (ROAD Clinic)
• Franciscan Medical Group (Rainier Urology)
• Franciscan Medical Group (Franciscan Vascular Associates)
• Franciscan Medical Group (Franciscan Diabetes Services)
• Franciscan Medical Group (FMG-The Lakewood Clinic, Family Medicine and Women's HealthCare)

• Psychiatry Physician in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Psychiatry Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.