Franciscan Medical Group
Organization Active NPI Neurological Surgery Physician · Federal Way, WA
NPI 1386857530 · NPPES record last updated Sep 1, 2011
Key facts
- NPI
- 1386857530
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Neurological Surgery Physician 207T00000X
- Legal business name
- FRANCISCAN MEDICAL GROUP
- Practice address
- 34503 9TH Ave S
#230
Federal Way, WA 98003-8727 - Phone
- (253) 838-3103
- Fax
- (253) 838-7134
- NPI assigned
- May 7, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- FRANCISCAN MEDICAL GROUP
Authorized official
- Name
- Dr. Cliff A. Robertson, MD
- Title
- President and Chief Medical Officer
- Phone
- (253) 779-6101
Practitioners 190
-
Navdeep S Rai, MD
-
Bianca Rosa Tyler, M.D.
-
Oviea Akpotaire, MD
-
Fizzah M Ali, M.D.
-
Raima Mahmuda Amin, M.D.
-
Lissa Brod Anderson, M.D.
-
Jennifer B Aquino, M.D.
-
Nilda Arbelo, MD
-
Khalid Aslam, MD
-
Bernard Baduria, MA, CCC-A
-
Sharon I Barker, PA-C
-
Jennifer Sue Barnett, ARNP
-
Ramon Roland Isidro Basa, M.D.
-
Lance Lebrecht Bear, M.D.
-
Julie Ann Benson, MHA,MN, ARNP
-
Tammy D. Bhang, ARNP
-
Bhavana Bhanot, MD
-
Himanshu Bhutani, M.D
-
Liliya V. Bilan, PA-C
-
David L Brown, M.D.
-
Samuel E Cargill, MD
-
Cheryl Kay Carney, CNM
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| 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
- Part of
- Enumclaw Medical Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician |
207T00000X | Yes |
Addresses
Primary practice location
34503 9TH Ave S
#230
Federal Way, WA 98003-8727
Mailing address
34503 9TH Ave S
#230
Federal Way, WA 98003-8727
Phone (253) 838-3103
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7137789 | Medicaid | WA |
Other names
- FMG - Franciscan Neurology - Federal Way
Other providers in Federal Way, WA
- Franciscan Medical Group
- Franciscan Medical Group
- Franciscan Medical Group
- Franciscan Medical Group
- Franciscan Medical Group
- Franciscan Medical Group
- Franciscan Medical Group
- Franciscan Medical Group
- Franciscan Medical Group
- Franciscan Medical Group
All providers in Federal Way, WA · Neurological Surgery Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.