FRANCISCAN MEDICAL GROUP (NPI# 1003147869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003147869 |
| Entity Type | Organization |
| Organization Name | FRANCISCAN MEDICAL GROUP |
| Other Organization Name | FMG HOSPITAL UROLOGY |
| Practice Address |
11307 Bridgeport Way Sw Suite 217 Lakewood WA 98499-3024 |
| Mailing Address |
Po Box 34935 Dept 121 Seattle WA 98124-1935 |
| Practice Telephone | 2539856346 |
| Practice Fax Number | 2539856137 |
| Mailing Telephone | 2539856346 |
| Mailing Fax Number | 2539856137 |
| Enumeration Date | 2010-01-19 |
| Last Update Date | 2010-06-15 |
| Authorized Official Name | TIM MARSH (CHIEF OPERATIONS OFFICER) |
| Authorized Official Telephone | 2537796102 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| FMG Hospital Urology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629602016 | Franciscan Medical Group | Emergency Medicine | 3556 Market Pl W Ste 109, University Place, WA 98466-4339 | 2020-02-25 |
| 1497194922 | Franciscan Medical Group | Nurse Practitioner | 9230 Sky Island Drive E, Bonney Lake, WA 98391-7187 | 2013-06-18 |
| 1588944474 | Franciscan Medical Group | Internal Medicine | 424 29th St Ne, Ste D, Puyallup, WA 98372-6766 | 2011-08-23 |
| 1639405137 | Franciscan Medical Group | Podiatrist | 6401 Kimball Dr Nw, Ste 201, Gig Harbor, WA 98335-1228 | 2009-10-19 |
| 1093945677 | Franciscan Medical Group | Plastic Surgery | 11311 Bridgept Way Sw, Ste 309, Lakewood, WA 98499-3071 | 2009-07-17 |
| 1437397361 | Franciscan Medical Group | Physical Medicine & Rehabilitation | 1624 S. I St., Ste 205, Tacoma, WA 98405-5000 | 2009-01-30 |
| 1801051404 | Franciscan Medical Group | Surgery | 710 S 348th St, Ste A, Federal Way, WA 98003-7042 | 2008-07-23 |
| 1366539421 | Franciscan Medical Group | Family Medicine | 1717 S J St # Ms 20-15, Tacoma, WA 98405-4933 | 2006-10-09 |
| 1134237696 | Franciscan Medical Group | Surgery | 200 S 333rd St, Ste 150, Federal Way, WA 98003-7359 | 2006-08-26 |
| 1164437851 | Franciscan Medical Group | Podiatrist | 200 Auburn Ave, Auburn, WA 98002-5015 | 2006-07-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | FRANCISCAN MEDICAL GROUP | 2420 S State St, Ms: 20-15, Tacoma, WA 98405-2845 |
| System for Award Management (SAM) Entities | FRANCISCAN MEDICAL GROUP | 1717 S J St, Tacoma, WA 98405-4933 |
| Street Address |
11307 BRIDGEPORT WAY SW SUITE 217 |
| City | LAKEWOOD |
| State | WA |
| Zip Code | 98499-3024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952389702 | W Pierre Andrade | Allergy & Immunology | 11307 Bridgeport Way Sw, Ste 200, Lakewood, WA 98499-3004 | 2006-01-03 |
| 1659628691 | Franciscan Medical Group | Surgery | 11307 Bridgeport Way Sw, Suite 210, Lakewood, WA 98499-3024 | 2012-08-09 |
| 1497084842 | Mohamed Imam El Bahy Imam | Internal Medicine | 11307 Bridgeport Way Sw, Lakewood, WA 98499-3024 | 2009-12-14 |
| 1447490123 | Franciscan Health System | Nurse Practitioner | 11307 Bridgeport Way Sw, Lakewood, WA 98499-3024 | 2009-02-20 |
| 1053559682 | Franciscan Medical Group | Surgery | 11307 Bridgeport Way Sw, Ste 220, Lakewood, WA 98499-3024 | 2009-02-04 |
| 1396820536 | Chad Farley | Podiatrist | 11307 Bridgeport Way Sw, Ste 220a, Lakewood, WA 98499-3024 | 2006-10-26 |
| 1457461410 | Allergy & Asthma Specialty Service Ps | Allergy & Immunology | 11307 Bridgeport Way Sw, Suite 200, Lakewood, WA 98499-3024 | 2006-08-30 |
| 1710996012 | Kristen M Costello | Physical Therapist | 11307 Bridgeport Way Sw, Ste 220, Lakewood, WA 98499-3024 | 2006-08-05 |
| 1902814833 | Franciscan Medical Group | Podiatrist | 11307 Bridgeport Way Sw, Ste 220-a, Lakewood, WA 98499-3024 | 2006-08-04 |
| 1457367377 | Carol D Ferguson | Physical Therapist | 11307 Bridgeport Way Sw, Ste 220, Lakewood, WA 98499-3024 | 2006-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275159592 | Sea Mar Community Health Centers | Clinic/Center | 5700 100th Street Se, Suite 510, Lakewood, WA 98499 | 2020-06-23 |
| 1568018828 | Heather Leigh Andrade | Behavioral Analyst | 6210 75th St W Ste 100, Lakewood, WA 98499 | 2019-08-13 |
| 1043870876 | Seoul Chinese Herbs Inc | Acupuncturist | 8705 S. Tacoma Way, Lakewood, WA 98499 | 2019-06-14 |
| 1013572064 | Puget Sound Kidney Centers | Clinic/Center | 11950 47th Ave Sw, Lakewood, WA 98499 | 2019-05-06 |
| 1447736657 | Marcela Cunan | Counselor | 9330 59th Avenue Southest, Lakewood, WA 98499 | 2018-07-11 |
| 1609382381 | Leroy Moore IIi | Counselor | 8811 S. Tacoma Way, 106, Lakewood, WA 98499 | 2017-12-18 |
| 1578077657 | Andrea Gaston | Behavior Technician | 8815 S. Tacoma Way, Suite 122, Lakewood, WA 98499 | 2017-11-27 |
| 1609389931 | Jennifer King | Social Worker | 5900 100th St Sw Ste 17b, Lakewood, WA 98499 | 2017-11-08 |
| 1750806337 | Wonyoung Lee | Counselor | 8811 South Tacoma Way, Suite 106, Lakewood, WA 98499 | 2017-08-04 |
| 1043749443 | Frederick Paltron Edwards | Counselor | 9500 Front Street, Suite 100, Lakewood, WA 98499 | 2017-06-08 |
| Find all providers in zip 98499 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164507356 | Nand S Datta | Urology | 5750 Downey Avenue, Suite #100, Lakewood, CA 90712 | 2006-10-26 |
| 1417976705 | Greater Long Beach Genito-urinary Med Grp | Urology | 3650 South Street, Suite 408, Lakewood, CA 90712-1510 | 2006-07-18 |
| 1679559603 | Lawrence Robert Vidrine | Urology | 11367 Bridgeport Way Sw, Suite 217, Lakewood, WA 98499-3004 | 2005-12-21 |
| 1144212598 | Kiritkumar M Pandya | Urology | 101 Prospect St, St#101, Lakewood, NJ 08701-5020 | 2005-08-20 |
| 1063413938 | John B Bak | Urology | 11307 Bridgeport Way Sw Ste 217, Lakewood, WA 98499-3024 | 2005-08-02 |
| 1811162555 | William M Zurich Jr Md Imrt LLC | Urology | 900 Route 70 East, Lakewood, NJ 08701-5940 | 2008-04-24 |
| 1215023940 | Lakewood Surgical Urology Ps | Urology | 11306 Bridgeport Way Sw, Suite D, Lakewood, WA 98499-3005 | 2006-10-04 |
| 1316959125 | Associated Urologists LLC | Urology | 1255 Highway 70, Suite 33s, Lakewood, NJ 08701-5900 | 2006-08-12 |
| 1437181286 | Franciscan Medical Group | Urology | 11307 Bridgeport Way Sw, Ste 217, Lakewood, WA 98499-3024 | 2006-07-06 |
| 1356370167 | Jay Winemiller | Urology | 11307 Bridgeport Way Sw, Ste 217, Lakewood, WA 98499-3024 | 2006-07-02 |
| Find all providers in LAKEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.