Active NPI
Franciscan Medical Group
Doing business as Franciscan Vascular Associates - Auburn
- Vascular Surgery Physician
- Auburn, WA
National Provider Identifier
1659536449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- Legal business name
- FRANCISCAN MEDICAL GROUP
- Doing business as
- Franciscan Vascular Associates - Auburn
- Practice address
- 202 N Division St
# 201
Auburn, WA 98001-4939 - Phone
- (253) 426-6363
- Fax
- (253) 833-8081
- NPI assigned
- Jul 22, 2008
- Last updated
- Sep 13, 2012
- Organization subpart
- Yes
- Parent organization
- FRANCISCAN MEDICAL GROUP
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cliff A. Robertson, MD
- Title
- President
- Phone
- (253) 779-6101
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | NU | Primary |
Addresses
Primary practice location
202 N Division St
# 201
Auburn, WA 98001-4939
Mailing address
202 N Division St
# 201
Auburn, WA 98001-4939
Phone (253) 426-6363
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0237903 | Other | WA | STATE L&I |
| 7143332 | Medicaid | WA |
Other names 1
- Franciscan Vascular Associates - Auburn
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031111000789 | WA | Part B Supplier - Clinic/Group Practice | 0547173866 |
Receives reassigned benefits from 1,720 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider Directory- Part of
- CHI Franciscan Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216684800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1347494400000",
"number": "1659536449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 N DIVISION ST",
"address_2": "# 201",
"city": "AUBURN",
"state": "WA",
"postal_code": "980014939",
"telephone_number": "253-426-6363",
"fax_number": "253-833-8081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 N DIVISION ST",
"address_2": "# 201",
"city": "AUBURN",
"state": "WA",
"postal_code": "980014939",
"telephone_number": "253-426-6363",
"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": "2008-07-22",
"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_credential": "MD"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE L&I",
"identifier": "0237903",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7143332",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Franciscan Vascular Associates - Auburn",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Auburn, WA
- Franciscan Health System (Rakesh Safaya, MD - Auburn)
- Franciscan Medical Group
- Franciscan Medical Group (Auburn/Federal Way Surgeons - Auburn)
- Franciscan Medical Group (Franciscan Endocrinology Clinic)
- Franciscan Medical Group (Franciscan Breast Imaging -Auburn)
- Franciscan Medical Group (Franciscan Heart and Vascular Asssociates-Auburn)
- Dena Ellen Frandsen, MA, LMHC
- Shylee Franklin-Wright
- Kellee Jeanne Franks, M.A.
- Deandre Fray, ARNP
Sources for this page
- 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.