Franciscan Medical Group

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

FRANCISCAN MEDICAL GROUP

Doing business as

St. Francis Breast Clinic

Practice address

34503 9TH Ave S
Ste 320
Federal Way, WA 98003-8727

Phone

(253) 944-4280

Fax

(253) 835-8000

NPI assigned

Aug 4, 2006

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

Title

Chief Medical Officer

Phone

(253) 779-6101

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• St. Francis Breast Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Part of

Enumclaw Medical Center

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Johann V Bernardo, MD

  • Internal Medicine Physician
  • Tacoma, WA
  • NPI 1326057688
  NPD
• Ramona Pungan, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Renton, WA
  • NPI 1497776769
  NPD
• Kanwardeep Kaur Sidhu, M.D

  • Family Medicine Physician
  • Auburn, WA
  • NPI 1104171974
  NPD

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276560000000",
    "number": "1568470441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34503 9TH AVE S",
            "address_2": "STE 320",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038727",
            "telephone_number": "253-944-4280",
            "fax_number": "253-835-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34503 9TH AVE S",
            "address_2": "STE 320",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038727",
            "telephone_number": "253-944-4280",
            "fax_number": "253-835-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCISCAN MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRANCISCAN MEDICAL GROUP",
        "enumeration_date": "2006-08-04",
        "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"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7129448",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Francis Breast Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Franciscan Medical Group (Franciscan Foot & Ankle Clinic)
• Franciscan Medical Group (Auburn/Federal Way Surgeons-Federal Way)
• Franciscan Medical Group (FMG-Franciscan Acute Surgical Team (FW))
• Franciscan Medical Group (St Francis Center for Weight Management)
• Franciscan Medical Group
• Franciscan Medical Group (Franciscan Diabetes Services)
• Franciscan Medical Group (Franciscan Women's HealthCare - Federal Way)
• Franciscan Medical Group (St. Franciscan Rheumatology Clinic)
• Franciscan Medical Group (Fransican Women's Health-FW (OB Hosp))
• Franciscan Medical Group (Franciscan Vascular Associates - 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 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.