Franciscan Medical Group
Organization Active NPI Obstetrics & Gynecology Physician · Enumclaw, WA
NPI 1679700231 · NPPES record last updated Jun 22, 2009
Key facts
- NPI
- 1679700231
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- Legal business name
- FRANCISCAN MEDICAL GROUP
- Practice address
- 1818 Cole St
Enumclaw, WA 98022-3504 - Phone
- (360) 825-6511
- Fax
- (360) 825-6536
- NPI assigned
- Jun 22, 2009
- Organization subpart
- No
Authorized official
- Name
- Dr. Dean A Field, MD
- Title
- Chief Medical Officer
- Phone
- (253) 858-9192
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician |
207V00000X | Yes | ||
| Surgery Physician |
208600000X | |||
| Foot & Ankle Surgery Podiatrist |
213ES0103X |
Addresses
Primary practice location
1818 Cole St
Enumclaw, WA 98022-3504
Mailing address
1818 Cole St
Enumclaw, WA 98022-3504
Phone (360) 825-6511
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GAB07290 | Other | WA | MEDICARE |
Other names
- Enumclaw Medical Center-Cole St
Other providers in Enumclaw, WA
- Four Directions Massage PLLC
- Larissa Francis
- Franciscan Medical Group
- Franciscan Medical Group
- Franciscan Medical Group
- Franciscan Medical Group
- Franciscan Medical Group
- Fred Meyer Stores Inc
- Luther A Frerichs
- Joy Yea Frey
All providers in Enumclaw, WA · Obstetrics & Gynecology Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.