Franciscan Medical Group

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

FRANCISCAN MEDICAL GROUP

Doing business as

Harbor Orthopedic Clinic

Practice address

11511 Canterwood Blvd NW
Ste 205
Gig Harbor, WA 98332-5813

Phone

(253) 530-2663

Fax

(253) 530-2675

NPI assigned

Jun 2, 2006

Last updated

Jun 14, 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

Dr. Cliff A Robertson, MD

Title

Chief Medical Officer

Phone

(253) 779-6101

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Harbor Orthopedic Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Part of

Franciscan Medical Grou

Practitioners 1

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.

• Kathleen A McDaniel, PA-C

  • Physician Assistant
  • Gig Harbor, WA
  • NPI 1033128459
  NPD (past)

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276473600000",
    "number": "1649218959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11511 CANTERWOOD BLVD NW",
            "address_2": "STE 205",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983325813",
            "telephone_number": "253-530-2663",
            "fax_number": "253-530-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11511 CANTERWOOD BLVD NW",
            "address_2": "STE 205",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983325813",
            "telephone_number": "253-530-2663",
            "fax_number": "253-530-2675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCISCAN MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRANCISCAN MEDICAL GROUP",
        "enumeration_date": "2006-06-02",
        "last_updated": "2010-06-14",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "CLIFF",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "253-779-6101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE L&I",
            "identifier": "0201042",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP",
            "identifier": "193293917",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7129711",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRIME VICTIMS",
            "identifier": "8906804",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harbor Orthopedic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Franciscan Medical Group (Franciscan Urology Associates-Gig Harbor)
• Franciscan Medical Group (FMG-Pathways Family Health)
• Franciscan Medical Group (FMG Hospitalist Urology)
• Franciscan Medical Group (FMG-St. Joseph Women's Clinic (GH))
• Franciscan Medical Group (FMG-Gig Harbor Orthopaedic Surgeons)
• Franciscan Medical Group (FMG-Franciscan Surgical Associates - Canterwood)
• Franciscan Medical Group (ROAD Clinic)
• Franciscan Medical Group (Franciscan Vascular Associates at St. Anthony)
• Franciscan Medical Group (Franciscan Plastic & Reconstructive Surgery Associates)
• Franciscan Medical Group (Franciscan Surgical Associates)

• Orthopaedic Surgery Physician in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Orthopaedic Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.