Active NPI
Franciscan Medical Group
- Surgery Physician
- Lakewood, WA
National Provider Identifier
1902814833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- FRANCISCAN MEDICAL GROUP
- Practice address
- 11307 Bridgeport Way SW
Ste 220-a
Lakewood, WA 98499-3024 - Phone
- (253) 985-2733
- Fax
- (253) 985-2868
- NPI assigned
- Aug 4, 2006
- Organization subpart
- Yes
- Parent organization
- FRANCISCAN MEDICAL GROUP
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dean Field
- Title
- Chief Medical Officer
- Phone
- (253) 858-9192
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary | ||
| Foot & Ankle Surgery Podiatrist | 213ES0103X |
Addresses
Primary practice location
11307 Bridgeport Way SW
Ste 220-a
Lakewood, WA 98499-3024
Mailing address
11307 Bridgeport Way SW
Ste 220-a
Lakewood, WA 98499-3024
Phone (253) 985-2733
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7124035 | Medicaid | WA | |
| 0200031 | Other | WA | STATE L&I |
Other names 1
- Franciscan Surgical Associates
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider Directory- Part of
- Enumclaw Medical Center
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 Medicine Physician
- Gig Harbor, WA
- NPI 1710901400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1276473600000",
"number": "1902814833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11307 BRIDGEPORT WAY SW",
"address_2": "STE 220-A",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984993024",
"telephone_number": "253-985-2733",
"fax_number": "253-985-2868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11307 BRIDGEPORT WAY SW",
"address_2": "STE 220-A",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984993024",
"telephone_number": "253-985-2733",
"fax_number": "253-985-2868"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRANCISCAN MEDICAL GROUP",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FRANCISCAN MEDICAL GROUP",
"enumeration_date": "2006-08-04",
"last_updated": "2010-06-14",
"status": "A",
"authorized_official_last_name": "FIELD",
"authorized_official_first_name": "DEAN",
"authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
"authorized_official_telephone_number": "253-858-9192"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7124035",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE L&I",
"identifier": "0200031",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Franciscan Surgical Associates",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lakewood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; 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.