Active NPI
Franciscan Medical Group
- Obstetrics & Gynecology Physician
- Federal Way, WA
National Provider Identifier
1720375405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- FRANCISCAN MEDICAL GROUP
- Practice address
- 34709 9TH Ave S
Ste B-500
Federal Way, WA 98003-8722 - Phone
- (253) 944-6950
- Fax
- (253) 661-8603
- NPI assigned
- Jul 1, 2011
- 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
- Stephen V Spare, MD
- Title
- President, Cmo
- Phone
- (253) 680-4009
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
34709 9TH Ave S
Ste B-500
Federal Way, WA 98003-8722
Mailing address
34709 9TH Ave S
Ste B-500
Federal Way, WA 98003-8722
Phone (253) 944-6950
Other names 1
- Fransican Women's Health-FW (OB Hosp)
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider Directory- Part of
- Enumclaw Medical Center
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Maternal & Fetal Medicine Physician
- Tacoma, WA
- NPI 1760674329
Obstetrics & Gynecology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309478400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1309478400000",
"number": "1720375405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34709 9TH AVE S",
"address_2": "STE B-500",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980038722",
"telephone_number": "253-944-6950",
"fax_number": "253-661-8603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34709 9TH AVE S",
"address_2": "STE B-500",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980038722",
"telephone_number": "253-944-6950",
"fax_number": "253-661-8603"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRANCISCAN MEDICAL GROUP",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FRANCISCAN MEDICAL GROUP",
"enumeration_date": "2011-07-01",
"last_updated": "2011-07-01",
"status": "A",
"authorized_official_last_name": "SPARE",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "PRESIDENT, CMO",
"authorized_official_telephone_number": "253-680-4009",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Fransican Women's Health-FW (OB Hosp)",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; 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.