Franciscan Medical Group

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

MD00035329 Issued in WA

Legal business name

FRANCISCAN MEDICAL GROUP

Practice address

1901 S Union Ave
Suite B-7011
Tacoma, WA 98405-1702

Phone

(253) 627-0762

Fax

(253) 572-9560

NPI assigned

Dec 17, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cliff Robertson

Title

Chief Medical Officer

Phone

(253) 680-4015

Specialties & licenses 1

Addresses

Other names 1

• FMG-Carlos E Moravek, MD Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 1

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

• Jennifer A Banda, CNM

  • Advanced Practice Midwife
  • Tacoma, WA
  • NPI 1629492673
  NPD

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

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229472000000",
    "number": "1881830164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S UNION AVE",
            "address_2": "SUITE B-7011",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051702",
            "telephone_number": "253-627-0762",
            "fax_number": "253-572-9560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S UNION AVE",
            "address_2": "SUITE B-7011",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051702",
            "telephone_number": "253-627-0762",
            "fax_number": "253-572-9560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCISCAN MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-17",
        "last_updated": "2008-12-17",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "CLIFF",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "253-680-4015"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WA",
            "license": "MD00035329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FMG-Carlos E Moravek, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Franciscan Medical Group
• Franciscan Medical Group
• Franciscan Medical Group
• Franciscan Medical Group
• Franciscan Medical Group
• Franciscan Medical Group
• Franciscan Medical Group
• Franciscan Medical Group
• Franciscan Medical Group
• Franciscan Medical Group

• Physical Medicine & Rehabilitation Physician in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Physical Medicine & Rehabilitation Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.