Franciscan Medical Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FRANCISCAN MEDICAL GROUP

Practice address

3556 Market PL W Ste 109
University Place, WA 98466-4339

Phone

(253) 215-1122

Fax

(253) 215-1123

NPI assigned

Feb 25, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mike Fitzgerald

Title

Cfo

Phone

(253) 680-4005

Specialties & licenses 3

Addresses

Other names 1

• FMG Go Health Urgent Care - University Place Doing business as

Locations

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582588800000",
    "number": "1629602016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31001-1518",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911101518",
            "telephone_number": "253-779-6260",
            "fax_number": "253-779-6294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3556 MARKET PL W STE 109",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664339",
            "telephone_number": "253-215-1122",
            "fax_number": "253-215-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCISCAN MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "253-680-4005"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FMG Go Health Urgent Care - University Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carrie Scholastica Fraga
• Franciscan City Urgent Care Services, PS
• Franciscan Health System
• Franciscan Health System
• Franciscan Medical Group
• Lisa Frank, RPH
• Nikki Jane Frantz, LMT
• Fred Meyer Stores Inc
• Sharon Kay Frederick, RN
• Mary Ida Freitas, LMP

• All providers in University Place, WA
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.