Active NPI
Franciscan Medical Group
Doing business as Auburn/Federal Way Surgeons-Federal Way
- Surgery Physician
- Federal Way, WA
National Provider Identifier
1437164209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- FRANCISCAN MEDICAL GROUP
- Doing business as
- Auburn/Federal Way Surgeons-Federal Way
- Practice address
- 34509 9TH Ave S
Suite 204
Federal Way, WA 98003-6700 - Phone
- (253) 927-1800
- Fax
- (253) 952-3025
- NPI assigned
- Jul 30, 2006
- Last updated
- Jun 15, 2010
- 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
- Cliff Robertson
- Title
- Chief Medical Officer
- Phone
- (253) 779-6101
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | NU | Primary |
Addresses
Primary practice location
34509 9TH Ave S
Suite 204
Federal Way, WA 98003-6700
Mailing address
34509 9TH Ave S
Suite 204
Federal Way, WA 98003-6700
Phone (253) 927-1800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7129448 | Medicaid | WA | |
| 0201155 | Other | WA | STATE L&I |
Other names 1
- Auburn/Federal Way Surgeons-Federal Way
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1276560000000",
"number": "1437164209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34509 9TH AVE S",
"address_2": "SUITE 204",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980036700",
"telephone_number": "253-927-1800",
"fax_number": "253-952-3025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34509 9TH AVE S",
"address_2": "SUITE 204",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980036700",
"telephone_number": "253-927-1800",
"fax_number": "253-952-3025"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRANCISCAN MEDICAL GROUP",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FRANCISCAN MEDICAL GROUP",
"enumeration_date": "2006-07-30",
"last_updated": "2010-06-15",
"status": "A",
"authorized_official_last_name": "ROBERTSON",
"authorized_official_first_name": "CLIFF",
"authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
"authorized_official_telephone_number": "253-779-6101"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7129448",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE L&I",
"identifier": "0201155",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Auburn/Federal Way Surgeons-Federal Way",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Federal Way, WA
- Franciscan Medical Group (St Francis Weight Loss Surgery Clinic)
- Franciscan Medical Group (St Francis Multidisciplinary Breast Clinic)
- Franciscan Medical Group (FMG-Federal Way Orthopedic Associates)
- Franciscan Medical Group (FMG - Franciscan Neurology - Federal Way)
- Franciscan Medical Group (Franciscan Foot & Ankle Clinic)
- Franciscan Medical Group (FMG-Franciscan Acute Surgical Team (FW))
- Franciscan Medical Group (St Francis Center for Weight Management)
- Franciscan Medical Group
- Franciscan Medical Group (St. Francis Breast Clinic)
- Franciscan Medical Group (Franciscan Diabetes Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; 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.