Franciscan Medical Group

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

FRANCISCAN MEDICAL GROUP

Practice address

11307 Bridgeport Way SW
Suite 210
Lakewood, WA 98499-3024

Phone

(253) 985-6160

Fax

(253) 985-6165

NPI assigned

Aug 9, 2012

Organization subpart

No

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

Authorized official

Name

Stephen Spare, MD

Title

President and Cmo

Phone

(253) 792-4344

Specialties & licenses 1

Addresses

Other names 1

• Franciscan Vascular Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

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

• David W Timme, MD

  • Otolaryngology Physician
  • Lakewood, WA
  • NPI 1811208705
  NPD

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344470400000",
    "number": "1659628691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11307 BRIDGEPORT WAY SW",
            "address_2": "SUITE 210",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993024",
            "telephone_number": "253-985-6160",
            "fax_number": "253-985-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11307 BRIDGEPORT WAY SW",
            "address_2": "SUITE 210",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993024",
            "telephone_number": "253-985-6160",
            "fax_number": "253-985-6165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCISCAN MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-09",
        "last_updated": "2012-08-09",
        "status": "A",
        "authorized_official_last_name": "SPARE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT AND CMO",
        "authorized_official_telephone_number": "253-792-4344",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Franciscan Vascular Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Franciscan Medical Group
• Franciscan Medical Group
• Franciscan Medical Group
• Franciscan Medical Group
• Franciscan Medical Group
• Franciscan Medical Group
• Franciscan Medical Group
• Franciscan Medical Group
• Franciscan Medical Group
• Franciscan Medical Group

• Vascular Surgery Physician in Lakewood, WA
• Providers in Lakewood, 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 Aug 9, 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.