Franciscan Health System
Organization Active NPI Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Gig Harbor, WA
NPI 1821363300 · NPPES record last updated Mar 15, 2012
Key facts
- NPI
- 1821363300
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X
- Legal business name
- FRANCISCAN HEALTH SYSTEM
- Practice address
- 11511 Canterwood Blvd NW
Suite 50
Gig Harbor, WA 98332-5813 - Phone
- (253) 530-2939
- Fax
- (253) 426-4142
- NPI assigned
- Mar 15, 2012
- Organization subpart
- No
Authorized official
- Name
- Mike Fitzgerald
- Title
- Cfo
- Phone
- (253) 680-4005
Owned or controlled facilities with NPI records 15
Other NPIs on the same Medicare enrollment 27
Other NPIs with the same Medicare PAC ID 5
Practitioners 4
-
Christina Sandra Hummes, ARNP
-
Tracy L Stearns-Church, ARNP
-
Sarah Villacorta, ARNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WA
All facility ownership & control disclosures 10
| Facility | Type | Role | Since |
|---|---|---|---|
| St Michael Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Aug 7, 2013 |
| St Joseph Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2021 |
| St Anne Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2013 |
| St Elizabeth Hospital |
Hospital | 5% Or Greater Direct Ownership Interest Operational/Managerial Control |
May 7, 2007 May 7, 2007 |
| St Elizabeth Hospital |
Hospital | 5% Or Greater Direct Ownership Interest Operational/Managerial Control |
May 1, 2007 May 1, 2007 |
| St Francis Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2011 |
| St Clare Hospital |
Hospital | 5% Or Greater Direct Ownership Interest Operational/Managerial Control |
Jan 1, 2011 Jan 1, 2011 |
| CHI Franciscan Rehabilitation Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (51%) | Jul 25, 2016 |
| Wellfound Behavioral Health Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (50%) | Feb 1, 2016 |
| Franciscan Hospice |
Hospice | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2021 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040209000147 | WA | Part B Supplier - Clinic/Group Practice | 1557254935 |
Receives reassigned benefits from 27 practitioners 26 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Tacoma, WA; University Place, WA; Silverdale, WA; Puyallup, WA; Lakewood, WA; Gig Harbor, WA |
| O20100930057459 | WA | DME Supplier - Pharmacy | 1557254935 |
1 other NPI on this enrollment Practice locations: Gig Harbor, WA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
208G00000X | Yes |
Addresses
Primary practice location
11511 Canterwood Blvd NW
Suite 50
Gig Harbor, WA 98332-5813
Mailing address
11511 Canterwood Blvd NW
Suite 50
Gig Harbor, WA 98332-5813
Phone (253) 530-2939
Other names
- St Joseph Cardiothoracic Surgeons
Other providers in Gig Harbor, WA
- Franciscan Health System
- Franciscan Health System
- Franciscan Health System
- Franciscan Health System
- Franciscan Health System
- Franciscan Health System
- Franciscan Health Systems
- Franciscan Health Systems
- Franciscan Medical Group
- Franciscan Medical Group
All providers in Gig Harbor, WA · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.