Franciscan Medical Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FRANCISCAN MEDICAL GROUP

Practice address

10116 116TH St E
Ste 101
Puyallup, WA 98373-3543

Phone

(253) 864-0224

Fax

(253) 864-0634

NPI assigned

Aug 27, 2007

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/ Chief Medical Officer

Phone

(253) 779-6101

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Lakes Family Medicine-Puyallup Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Part of

Enumclaw Medical Center

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Linh Trang Huynh, MD

  • Family Medicine Physician
  • Puyallup, WA
  • NPI 1508881228

  Family Medicine

  NPD (past)
• Linh Ngoc Vu, MD

  • Family Medicine Physician
  • Spanaway, WA
  • NPI 1417976440

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1871786483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10116 116TH ST E",
            "address_2": "STE 101",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733543",
            "telephone_number": "253-864-0224",
            "fax_number": "253-864-0634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10116 116TH ST E",
            "address_2": "STE 101",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733543",
            "telephone_number": "253-864-0224",
            "fax_number": "253-864-0634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCISCAN MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRANCISCAN MEDICAL GROUP",
        "enumeration_date": "2007-08-27",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "CLIFF",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT/ CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "253-779-6101",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE L&I",
            "identifier": "0224333",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7139173",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakes Family Medicine-Puyallup",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Franciscan Medical Group
• Franciscan Medical Group
• Franciscan Medical Group
• Franciscan Medical Group
• Franciscan Medical Group
• Franciscan Medical Group
• Rachelle Francois Tate
• Robert Jay Frank, MD
• Jordan Fraser
• Joye Lynn Fratoni, MA

• Family Medicine Physician in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; 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.