Active NPI
Franciscan Medical Group
Doing business as FMG-Franciscan Medical Clinic - Spanaway
- Family Medicine Physician
- Spanaway, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- FRANCISCAN MEDICAL GROUP
- Doing business as
- FMG-Franciscan Medical Clinic - Spanaway
- Practice address
- 144 169TH St S
Ste a
Spanaway, WA 98387-8201 - Phone
- (253) 536-2824
- Fax
- (253) 536-3070
- NPI assigned
- Apr 13, 2011
- Last updated
- Apr 13, 2011
- Organization subpart
- Yes
- Parent organization
- FRANCISCAN MEDICAL GROUP
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
- Chief Medical Officer
- Phone
- (253) 858-9192
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
144 169TH St S
Ste a
Spanaway, WA 98387-8201
Mailing address
PO Box 31001-1518
Pasadena, CA 91110-1518
Phone (253) 552-4100
Other names 1
- FMG-Franciscan Medical Clinic - Spanaway
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
National Provider Directory- Part of
- CHI Franciscan Health
Locations
144 169th St S
Ste A
Spanaway, WA 98387
Phone (253) 536-2824
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Gig Harbor, WA
- NPI 1710901400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302652800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1302652800000",
"number": "1366732190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31001-1518",
"city": "PASADENA",
"state": "CA",
"postal_code": "911101518",
"telephone_number": "253-552-4100",
"fax_number": "253-552-4175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 169TH ST S",
"address_2": "STE A",
"city": "SPANAWAY",
"state": "WA",
"postal_code": "983878201",
"telephone_number": "253-536-2824",
"fax_number": "253-536-3070"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRANCISCAN MEDICAL GROUP",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FRANCISCAN MEDICAL GROUP",
"enumeration_date": "2011-04-13",
"last_updated": "2011-04-13",
"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": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "FMG-Franciscan Medical Clinic - Spanaway",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Spanaway, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.