Active NPI
Franciscan Medical Group
- Family Medicine Physician
- Seattle, WA
National Provider Identifier
1962036467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- FRANCISCAN MEDICAL GROUP
- Practice address
- 4755 Fauntleroy Way SW Ste 110
Seattle, WA 98116-4669 - Phone
- (206) 201-0551
- Fax
- (206) 201-0552
- NPI assigned
- Feb 24, 2020
- 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
- Mike Fitzgerald
- Title
- Cfo
- Phone
- (253) 680-4005
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | |||
| Family Medicine Physician | 207Q00000X | Primary | ||
| Internal Medicine Physician | 207R00000X |
Addresses
Primary practice location
4755 Fauntleroy Way SW Ste 110
Seattle, WA 98116-4669
Mailing address
PO Box 31001-1518
Pasadena, CA 91110-1518
Phone (253) 779-6260
Other names 1
- FMG GO HEALTH URGENT CARE - WEST SEATTLE
National Provider Directory
National Provider DirectoryMember organizations 2
Organizations listed as members of this organization in the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Kirkland, WA
- NPI 1386454650
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1583280000000",
"number": "1962036467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31001-1518",
"city": "PASADENA",
"state": "CA",
"postal_code": "911101518",
"telephone_number": "253-779-6260",
"fax_number": "253-779-6294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4755 FAUNTLEROY WAY SW STE 110",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981164669",
"telephone_number": "206-201-0551",
"fax_number": "206-201-0552"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRANCISCAN MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-24",
"last_updated": "2020-03-04",
"certification_date": "2020-03-04",
"status": "A",
"authorized_official_last_name": "FITZGERALD",
"authorized_official_first_name": "MIKE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "253-680-4005"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "FMG GO HEALTH URGENT CARE - WEST SEATTLE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.