Franciscan Medical Group

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

FRANCISCAN MEDICAL GROUP

Doing business as

FMG-Northwest Nephrology (GH)

Practice address

11511 Canterwood Blvd NW
Ste 300
Gig Harbor, WA 98332-5813

Phone

(253) 272-5881

Fax

(253) 383-0161

NPI assigned

May 20, 2009

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

Dean A. Field, MD

Title

Chief Medical Officer

Phone

(253) 680-4009

Specialties & licenses 1

Addresses

Other names 1

• FMG-Northwest Nephrology (GH) Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Part of

Enumclaw Medical Center

Locations

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242777600000",
    "number": "1952536997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11511 CANTERWOOD BLVD NW",
            "address_2": "STE 300",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983325813",
            "telephone_number": "253-272-5881",
            "fax_number": "253-383-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11511 CANTERWOOD BLVD NW",
            "address_2": "STE 300",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983325813",
            "telephone_number": "253-272-5881",
            "fax_number": "253-383-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCISCAN MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRANCISCAN MEDICAL GROUP",
        "enumeration_date": "2009-05-20",
        "last_updated": "2009-05-20",
        "status": "A",
        "authorized_official_last_name": "FIELD",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "253-680-4009",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FMG-Northwest Nephrology (GH)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Franciscan Medical Group (Franciscan Heart and Vascular Asssociates at St Anthony)
• 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 (Gig Harbor Medical Clinic)
• Franciscan Medical Groupg (FMG-Franciscan Surgical Associates (GH))
• Frank Nutrition and Exercise Consulting, LLC
• Cara Thompson Franke, LCSW
• Elizabeth Franklin, PT

• Nephrology Physician in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Nephrology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; 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.