Active NPI
Franciscan Medical Group
Doing business as Pacific NW Maternal Fetal Medicine Federal Way
- Maternal & Fetal Medicine Physician
- Federal Way, WA
National Provider Identifier
1821105271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- MD00023541
- Legal business name
- FRANCISCAN MEDICAL GROUP
- Doing business as
- Pacific NW Maternal Fetal Medicine Federal Way
- Practice address
- 34503 9TH Ave S
Ste 200
Federal Way, WA 98003-8727 - Phone
- (253) 835-6260
- Fax
- (253) 835-6299
- NPI assigned
- Aug 23, 2006
- 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
- Cliff Robertson, MD
- Title
- Cmo, President
- Phone
- (253) 779-6101
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | MD00023541 | WA | Primary |
Addresses
Primary practice location
34503 9TH Ave S
Ste 200
Federal Way, WA 98003-8727
Mailing address
34503 9TH Ave S
Ste 200
Federal Way, WA 98003-8727
Phone (253) 835-6260
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0214670 | Other | WA | STATE L&I |
| 7134364 | Medicaid | WA |
Other names 1
- Pacific NW Maternal Fetal Medicine Federal Way
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| 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
National Provider Directory- Part of
- Enumclaw Medical Center
Locations
34503 9th Ave S
Ste 200
Federal Way, WA 98003
Phone (253) 835-6260
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Tacoma, WA
- NPI 1588756654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1258416000000",
"number": "1821105271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34503 9TH AVE S",
"address_2": "STE 200",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980038727",
"telephone_number": "253-835-6260",
"fax_number": "253-835-6299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34503 9TH AVE S",
"address_2": "STE 200",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980038727",
"telephone_number": "253-835-6260",
"fax_number": "253-835-6299"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRANCISCAN MEDICAL GROUP",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FRANCISCAN MEDICAL GROUP",
"enumeration_date": "2006-08-23",
"last_updated": "2009-11-17",
"status": "A",
"authorized_official_last_name": "ROBERTSON",
"authorized_official_first_name": "CLIFF",
"authorized_official_title_or_position": "CMO, PRESIDENT",
"authorized_official_telephone_number": "253-779-6101",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "WA",
"license": "MD00023541",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE L&I",
"identifier": "0214670",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7134364",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Pacific NW Maternal Fetal Medicine Federal Way",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Federal Way, WA
- Franciscan Medical Group (Franciscan Diabetes Services)
- Franciscan Medical Group (Franciscan Women's HealthCare - Federal Way)
- Franciscan Medical Group (St. Franciscan Rheumatology Clinic)
- Franciscan Medical Group (Fransican Women's Health-FW (OB Hosp))
- Franciscan Medical Group (Franciscan Vascular Associates - 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)
- Betsy Cristhine Francisco Cervantes, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.