Franciscan Medical Group

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

MD00016214 Issued in WA

Legal business name

FRANCISCAN MEDICAL GROUP

Doing business as

FMG-John McKelvey, MD

Practice address

11311 Bridgeport Way SW
Ste 202
Lakewood, WA 98499-3071

Phone

(253) 983-5040

Fax

(253) 983-5045

NPI assigned

Jun 20, 2008

Last updated

Jun 20, 2008By the provider in NPPES

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

Dr. Cliff Robertson, MD

Title

Chief Medical Officer

Phone

(253) 779-6101

Specialties & licenses 1

Addresses

Other names 1

• FMG-John McKelvey, MD Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Part of

CHI Franciscan Health

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Erin P Moyer, MD

  • Orthopaedic Surgery Physician
  • Silverdale, WA
  • NPI 1992947592
  NPD

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1932360013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11311 BRIDGEPORT WAY SW",
            "address_2": "STE 202",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993071",
            "telephone_number": "253-983-5040",
            "fax_number": "253-983-5045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11311 BRIDGEPORT WAY SW",
            "address_2": "STE 202",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993071",
            "telephone_number": "253-983-5040",
            "fax_number": "253-983-5045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCISCAN MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRANCISCAN MEDICAL GROUP",
        "enumeration_date": "2008-06-20",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "CLIFF",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "253-779-6101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WA",
            "license": "MD00016214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FMG-John McKelvey, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Franciscan Medical Group (Franciscan Diabetes Services)
• Franciscan Medical Group (FMG-The Lakewood Clinic, Family Medicine and Women's HealthCare)
• Franciscan Medical Group (Franciscan Digestive Care Associates-Lakewood)
• Franciscan Medical Group (Steven G. Duras, MD, FACS)
• Franciscan Medical Group (Franciscan Surgical Associates)
• Franciscan Medical Group (Franciscan Neurology Clinic - Lakewood)
• Franciscan Medical Group (Franciscan Heart and Vascular Asssociates at St Clare)
• Frank Ross Arnp LLC
• Tori Grace Franklin, PA
• Deanna Nicole Frantz, PSYD

• Cardiovascular Disease Physician in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Cardiovascular Disease Physician in Washington

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