Franciscan Medical Group

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

FRANCISCAN MEDICAL GROUP

Doing business as

FMG-Franciscan Surgical Associates - Canterwood

Practice address

11511 Canterwood Blvd NW
Ste 300
Gig Harbor, WA 98332-5813

Phone

(253) 530-2940

Fax

(253) 530-2945

NPI assigned

Dec 16, 2009

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

Dean A. Field, MD

Title

President and Chief Medical Officer

Phone

(253) 680-4009

Specialties & licenses 1

Addresses

Other names 1

• FMG-Franciscan Surgical Associates - Canterwood Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Part of

Enumclaw Medical Center

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

{
    "created_epoch": "1260921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260921600000",
    "number": "1720317068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11511 CANTERWOOD BLVD NW",
            "address_2": "STE 300",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983325813",
            "telephone_number": "253-530-2940",
            "fax_number": "253-530-2945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11511 CANTERWOOD BLVD NW",
            "address_2": "STE 300",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983325813",
            "telephone_number": "253-530-2940",
            "fax_number": "253-530-2945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCISCAN MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRANCISCAN MEDICAL GROUP",
        "enumeration_date": "2009-12-16",
        "last_updated": "2009-12-16",
        "status": "A",
        "authorized_official_last_name": "FIELD",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT AND CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "253-680-4009",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FMG-Franciscan Surgical Associates - Canterwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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 (Harbor Orthopedic Clinic)
• 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)
• Franciscan Medical Group (Franciscan Diabetes Services)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; 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.