FRANCISCAN MEDICAL GROUP (NPI# 1225044951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225044951 |
| Entity Type | Organization |
| Organization Name | FRANCISCAN MEDICAL GROUP |
| Other Organization Name | FRANCISCAN EYE CARE |
| Practice Address |
6401 Kimball Dr Gig Harbor WA 98335-1228 |
| Practice Telephone | 2535025965 |
| Practice Fax Number | 2535938410 |
| Mailing Telephone | 2535025965 |
| Mailing Fax Number | 2535938410 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2008-06-20 |
| Authorized Official Name | CLIFF ROBERTSON (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 2537796101 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRANCISCAN MEDICAL GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians | ||
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7131089 | 05 | |
| WA | STATE L&I | 0126535 | 01 |
| Other Name | Type Code |
|---|---|
| Franciscan Eye Care | 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 |
6401 KIMBALL DR |
| City | GIG HARBOR |
| State | WA |
| Zip Code | 98335-1228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245220672 | Gregory Mark Ennis | Family Medicine | 6401 Kimball Dr, Suite 201, Gig Harbor, WA 98335-1228 | 2005-10-26 |
| 1417330853 | Paz Ivy Corro-casino | Internal Medicine | 6401 Kimball Dr, Gig Harbor, WA 98335-1228 | 2015-07-02 |
| 1437469368 | Franciscan Medical Group | Urology | 6401 Kimball Dr, 2nd Floor, Gig Harbor, WA 98335-1228 | 2010-10-13 |
| 1902115330 | Franciscan Medical Group | Urology | 6401 Kimball Dr, 2nd Floor, Gig Harbor, WA 98335-1228 | 2010-10-04 |
| 1417260126 | Jesus Vicente Casino | Internal Medicine | 6401 Kimball Dr, Gig Harbor, WA 98335-1228 | 2010-07-22 |
| 1558692319 | Franciscan Medical Group | Urology | 6401 Kimball Dr, Gig Harbor, WA 98335-1228 | 2010-01-19 |
| 1841526779 | Franciscan Medical Group | Dietitian, Registered | 6401 Kimball Dr, Gig Harbor, WA 98335-1228 | 2009-10-28 |
| 1740425768 | Franciscan Medical Groupg | Surgery | 6401 Kimball Dr, Gig Harbor, WA 98335-1228 | 2008-12-04 |
| 1225223878 | Francis Amado Dizon Mercado | Internal Medicine | 6401 Kimball Dr, Gig Harbor, WA 98335-1228 | 2007-09-06 |
| 1740311562 | Franciscan Health System | Clinic/Center | 6401 Kimball Dr, Gig Harbor, WA 98335-1228 | 2007-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336607191 | Nw Iom LLC | Specialist/Technologist, Other | 8014 Warren Dr Nw, Gig Harbor, WA 98335 | 2019-03-11 |
| 1760949432 | Mary Patricia Lancefield | Social Worker | Chi Franciscan Health Syste, Ms 53-50, 11567 Canterwood Blvd Nw, Gig Harbor, WA 98335 | 2019-02-28 |
| 1225512312 | Patricia Milligan | Counselor | 3214 50th St Ct Nw Suite 205-c, Gig Harbor, WA 98335 | 2018-09-24 |
| 1164918579 | Communication Therapies LLC | Clinic/Center | 3206 50th St Ct Nw Ste A105, Ste A105, Gig Harbor, WA 98335 | 2018-07-09 |
| 1821503764 | Ashley Ruiz | Social Worker | 7282 Stinson Ave Ste B, Gig Harbor, WA 98335 | 2017-12-13 |
| 1356855076 | Cristie Leigh Campbell | Massage Therapist | 7700 Pioneer Way, Suite 101, Gig Harbor, WA 98335 | 2017-11-17 |
| 1053837856 | Gig Harbor Medical Supplies | Durable Medical Equipment & Medical Supplies | 4810 Pt, Fosdick Dr. Nw, Gig Harbor, WA 98335 | 2017-08-14 |
| 1699219709 | Tanaya Kumar | Dentist | 4901 Point Fosdick Dr. Nw Street 300, Gig Harbor, WA 98335 | 2016-12-08 |
| 1972051076 | Bryce Brown | Chiropractor | 6625 Wagner Way Nw Ste 260d, Gig Harbor, WA 98335 | 2016-09-17 |
| 1144616848 | A Positive Change | Community/Behavioral Health | 5262 Olympic Drive Suite C, Gig Harbor, WA 98335 | 2015-04-09 |
| Find all providers in zip 98335 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033589601 | Betty Ann Hagaman I | Optometrist | 4810 Point Fosdick Dr Nw, Gig Harbor, WA 98335-1711 | 2015-09-25 |
| 1326441791 | Lock, O.d. Pllc | Optometrist | 4735 Point Fosdick Dr Nw, Suite 300, Gig Harbor, WA 98335-2314 | 2014-09-30 |
| 1710241831 | David Shin | Optometrist | 4949 Borgen Blvd Nw Ste 107, Gig Harbor, WA 98332-7895 | 2012-07-03 |
| 1477820660 | Anthony Ryan Lopez | Optometrist | 3815 56th Street Ct Nw, Gig Harbor, WA 98335-7120 | 2011-11-16 |
| 1538365044 | Jessica Schuhmann | Optometrist | 2727 106th Street Ct Nw, Gig Harbor, WA 98332-9317 | 2007-06-22 |
| 1497801633 | Charles Robert Dale | Optometrist | 3002 Harborview Dr, Gig Harbor, WA 98335-1962 | 2007-01-27 |
| 1003976358 | Kenneth L White | Optometrist | 2316 83rd St Nw, Gig Harbor, WA 98332-7545 | 2006-12-09 |
| 1417036013 | Harbor Eye Physicians & Surgeons, PC | Optometrist | 7901 Skansie Ave, Suite 105, Gig Harbor, WA 98335-8349 | 2006-11-03 |
| 1932287869 | Gig Harbor Vision Center Ps | Optometrist | 3220 Uddenberg Ln Ste 5, Gig Harbor, WA 98335-5128 | 2006-11-01 |
| 1912096967 | Kandi Sue Moller | Optometrist | 4735 Point Fosdick Dr Ste 300, Gig Harbor, WA 98335-2314 | 2006-10-11 |
| Find all providers in GIG HARBOR | ||||
| City | GIG HARBOR |
| Zip Code | 98335 |
Please comment or provide details below to improve the information on FRANCISCAN MEDICAL GROUP.
| 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.