Franciscan Medical Group

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

FRANCISCAN MEDICAL GROUP

Doing business as

FMG-Franciscan Acute Surgical Team (FW)

Practice address

34509 9TH Ave S
Ste 208
Federal Way, WA 98003-6700

Phone

(253) 985-6141

Fax

(253) 985-2868

NPI assigned

Feb 4, 2009

Last updated

Feb 4, 2009By 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

President

Phone

(253) 680-4014

Specialties & licenses 1

Addresses

Other names 1

• FMG-Franciscan Acute Surgical Team (FW) Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Part of

University Place Medica

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233705600000",
    "number": "1477791093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34509 9TH AVE S",
            "address_2": "STE 208",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036700",
            "telephone_number": "253-985-6141",
            "fax_number": "253-985-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34509 9TH AVE S",
            "address_2": "STE 208",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036700",
            "telephone_number": "253-985-6141",
            "fax_number": "253-985-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCISCAN MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRANCISCAN MEDICAL GROUP",
        "enumeration_date": "2009-02-04",
        "last_updated": "2009-02-04",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "CLIFF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-680-4014",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FMG-Franciscan Acute Surgical Team (FW)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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 (Auburn/Federal Way Surgeons-Federal Way)
• 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)
• Franciscan Medical Group (Franciscan Women's HealthCare - Federal Way)

• Surgery Physician in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.