Franciscan Medical Group

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

FRANCISCAN MEDICAL GROUP

Doing business as

Franciscan Vascular Associates - Cole Street

Practice address

1818 Cole St
Enumclaw, WA 98022-3504

Phone

(253) 833-8032

Fax

(253) 833-8081

NPI assigned

Sep 5, 2008

Last updated

Sep 13, 2012By 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

Dr. Cliff A. Robertson, MD

Title

President

Phone

(253) 779-6101

Specialties & licenses 1

Addresses

Other names 1

• Franciscan Vascular Associates - Cole Street Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Part of

CHI Franciscan Health

Locations

Practitioners 2

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.

• Boris Lazarev, M.D.

  • Internal Medicine Physician
  • Federal Way, WA
  • NPI 1912165226
  NPD
• Robert A Ory, MD

  • Internal Medicine Physician
  • Federal Way, WA
  • NPI 1891704136
  NPD

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

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347494400000",
    "number": "1528216280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 COLE ST",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980223504",
            "telephone_number": "253-833-8032",
            "fax_number": "253-833-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 COLE ST",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980223504",
            "telephone_number": "253-833-8032",
            "fax_number": "253-833-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCISCAN MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRANCISCAN MEDICAL GROUP",
        "enumeration_date": "2008-09-05",
        "last_updated": "2012-09-13",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "CLIFF",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-779-6101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Franciscan Vascular Associates - Cole Street",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexander Eugene Foster, LMHC
• Four Directions Massage PLLC
• Larissa Francis, REGISTERED DIETITIAN
• Franciscan Medical Group (FMG-Franciscan Orthopedic Associates - Enumclaw)
• Franciscan Medical Group (NW Vascular Center)
• Franciscan Medical Group (Enumclaw Medical Center-Cole St)
• Franciscan Medical Group (Franciscan Medical Clinic-Enumclaw)
• Franciscan Medical Group (Franciscan Heart and Vascular Associates - Enumclaw)
• Fred Meyer Stores Inc (QFC Pharmacy)
• Luther A Frerichs, MD

• Vascular Surgery Physician in Enumclaw, WA
• Providers in Enumclaw, WA by specialty
• Vascular Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.