Franciscan Medical Group

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

FRANCISCAN MEDICAL GROUP

Doing business as

Neurosurgery Northwest

Practice address

1708 Yakima Ave
Ste 105
Tacoma, WA 98405-5307

Phone

(253) 426-4420

Fax

(253) 426-4383

NPI assigned

May 4, 2006

Last updated

Jun 15, 2010By the provider in NPPES

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

Cliff Robertson, MD

Title

Chief Medical Officer

Phone

(253) 779-6101

Specialties & licenses 1

Addresses

Other names 1

• Neurosurgery Northwest Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Part of

CHI Franciscan Health

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276560000000",
    "number": "1447208293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 YAKIMA AVE",
            "address_2": "STE 105",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984055307",
            "telephone_number": "253-426-4420",
            "fax_number": "253-426-4383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 YAKIMA AVE",
            "address_2": "STE 105",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984055307",
            "telephone_number": "253-426-4420",
            "fax_number": "253-426-4383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCISCAN MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRANCISCAN MEDICAL GROUP",
        "enumeration_date": "2006-05-04",
        "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",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neurosurgery Northwest",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Franciscan Medical Group (St. Joseph Medical Clinic)
• Franciscan Medical Group
• Franciscan Medical Group (Franciscan Ear, Nose & Throat Associates)
• Franciscan Medical Group (Franciscan Neurology - Tacoma)
• Franciscan Medical Group (FMG-Carlos E. Moravek, MD (GH))
• Franciscan Medical Group
• Franciscan Medical Group (The Orthopaedic Center)
• Franciscan Medical Group (Pacific NW Maternal Fetal Medicine (OB Hosp))
• Franciscan Medical Group (FMG-Endocrine Consultants Northwest)
• Franciscan Medical Group (FMG-Franciscan Women's Health - Pearl Place (SJMC))

• Neurological Surgery Physician in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Neurological Surgery Physician in Washington

• 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.

Verify at the official NPI Registry.