Franciscan Medical Group

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

FRANCISCAN MEDICAL GROUP

Doing business as

Franciscan Vascular Associates - Federal Way

Practice address

710 S 348TH St
Ste a
Federal Way, WA 98003-7042

Phone

(253) 833-8032

Fax

(253) 661-4286

NPI assigned

Jul 23, 2008

Last updated

Sep 13, 2012By the provider in NPPES

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

Cliff A. Robertson, MD

Title

President

Phone

(253) 779-6101

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Franciscan Vascular Associates - Federal Way Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Part of

CHI Franciscan Health

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yonaton A Jacobs, ARNP

  • Adult Health Nurse Practitioner
  • Federal Way, WA
  • NPI 1902689425
  NPD (past)

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347494400000",
    "number": "1801051404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 S 348TH ST",
            "address_2": "STE A",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980037042",
            "telephone_number": "253-833-8032",
            "fax_number": "253-661-4286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 S 348TH ST",
            "address_2": "STE A",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980037042",
            "telephone_number": "253-833-8032",
            "fax_number": "253-661-4286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCISCAN MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRANCISCAN MEDICAL GROUP",
        "enumeration_date": "2008-07-23",
        "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": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7143332",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE L&I",
            "identifier": "0237906",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Franciscan Vascular Associates - Federal Way",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Franciscan Medical Group (St. Francis Breast Clinic)
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• Franciscan Medical Group (Franciscan Women's HealthCare - Federal Way)
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• Franciscan Medical Group (Fransican Women's Health-FW (OB Hosp))
• Franciscan Medical Group (Pacific NW Maternal Fetal Medicine Federal Way)
• Franciscan Medical Group (Franciscan Women's Health Associates at St. Francis)
• Franciscan Medical Group (Franciscan Digestive Care Associates-Federal Way)
• Franciscan Medical Group (Franciscan Medical Clinic-Federal Way)
• Franciscan Medical Group (St. Francis Medical Clinic)

• Vascular Surgery Physician in Federal Way, WA
• Providers in Federal Way, 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 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.

Verify at the official NPI Registry.