Active NPI
Franciscan Medical Group
- Family Medicine Physician
- Tacoma, WA
National Provider Identifier
1821243742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- FRANCISCAN MEDICAL GROUP
- Practice address
- 1708 Yakima Ave
Suite 60
Tacoma, WA 98405-5307 - Phone
- (253) 474-9038
- Fax
- (253) 474-3472
- NPI assigned
- Nov 19, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cliff Robertson
- Title
- Chief Operations Officer
- Phone
- (253) 680-4015
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1708 Yakima Ave
Suite 60
Tacoma, WA 98405-5307
Mailing address
1708 Yakima Ave
Suite 60
Tacoma, WA 98405-5307
Phone (253) 474-9038
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8945600 | Other | WA | CRIME VICTIMS |
| 106101525 | Other | WA | OWCP |
Other names 1
- Franciscan Family Medicine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Lakewood, WA
- NPI 1265466403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227052800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1233705600000",
"number": "1821243742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1708 YAKIMA AVE",
"address_2": "SUITE 60",
"city": "TACOMA",
"state": "WA",
"postal_code": "984055307",
"telephone_number": "253-474-9038",
"fax_number": "253-474-3472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1708 YAKIMA AVE",
"address_2": "SUITE 60",
"city": "TACOMA",
"state": "WA",
"postal_code": "984055307",
"telephone_number": "253-474-9038",
"fax_number": "253-474-3472"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRANCISCAN MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-19",
"last_updated": "2009-02-04",
"status": "A",
"authorized_official_last_name": "ROBERTSON",
"authorized_official_first_name": "CLIFF",
"authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
"authorized_official_telephone_number": "253-680-4015"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRIME VICTIMS",
"identifier": "8945600",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OWCP",
"identifier": "106101525",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Franciscan Family Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.