Active NPI
Franciscan Medical Group
Doing business as Franciscan Heart and Vascular Asssociates at St Anthony
- Cardiovascular Disease Physician
- Gig Harbor, WA
National Provider Identifier
1871888933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- FRANCISCAN MEDICAL GROUP
- Doing business as
- Franciscan Heart and Vascular Asssociates at St Anthony
- Practice address
- 11511 Canterwood Blvd NW
Ste 110
Gig Harbor, WA 98332-5813 - Phone
- (253) 382-3716
- Fax
- (253) 627-6576
- NPI assigned
- Jun 16, 2011
- 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
- Stephen Spare, MD
- Title
- President and Cmo
- Phone
- (253) 680-4009
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
11511 Canterwood Blvd NW
Ste 110
Gig Harbor, WA 98332-5813
Mailing address
11511 Canterwood Blvd NW
Ste 110
Gig Harbor, WA 98332-5813
Phone (253) 382-3716
Other names 1
- Franciscan Heart and Vascular Asssociates at St Anthony
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 DirectoryLocations
11511 Canterwood Blvd
Ste 110
Gig Harbor, WA 98332
Phone (253) 382-3716
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 1235159484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308182400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1308182400000",
"number": "1871888933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11511 CANTERWOOD BLVD NW",
"address_2": "STE 110",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983325813",
"telephone_number": "253-382-3716",
"fax_number": "253-627-6576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11511 CANTERWOOD BLVD NW",
"address_2": "STE 110",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983325813",
"telephone_number": "253-382-3716",
"fax_number": "253-627-6576"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRANCISCAN MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-16",
"last_updated": "2011-06-16",
"status": "A",
"authorized_official_last_name": "SPARE",
"authorized_official_first_name": "STEPHEN",
"authorized_official_title_or_position": "PRESIDENT AND CMO",
"authorized_official_telephone_number": "253-680-4009",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Franciscan Heart and Vascular Asssociates at St Anthony",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gig Harbor, WA
- Franciscan Medical Group (Franciscan Vascular Associates at St. Anthony)
- Franciscan Medical Group (Franciscan Plastic & Reconstructive Surgery Associates)
- Franciscan Medical Group (Franciscan Surgical Associates)
- Franciscan Medical Group (Franciscan Diabetes Services)
- Franciscan Medical Group (St Anthony Specialty Care on Point Fosdick)
- Franciscan Medical Group (Franciscan Ear, Nose & Throat Associates (Federal Way))
- Franciscan Medical Group (Franciscan Urology - Gig Harbor)
- Franciscan Medical Group (FMG-Franciscan Foot & Ankle Specialist)
- Franciscan Medical Group (St Anthony Prompt Care)
- Franciscan Medical Group (FMG-Northwest Nephrology (GH))
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; 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.