FRANCISCAN MEDICAL GROUP (NPI# 1265752281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265752281 |
| Entity Type | Organization |
| Organization Name | FRANCISCAN MEDICAL GROUP |
| Other Organization Name | ST FRANCIS MULTIDISCIPLINARY BREAST CLINIC |
| Practice Address |
34515 9th Ave S Ste 204 Federal Way WA 98003-6761 |
| Practice Telephone | 2539444280 |
| Practice Fax Number | 2538358000 |
| Mailing Telephone | 2539444280 |
| Mailing Fax Number | 2538358000 |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2010-06-02 |
| Authorized Official Name | DEAN FIELD (CMO) |
| Authorized Official Telephone | 2536804009 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | FRANCISCAN MEDICAL GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St Francis Multidisciplinary Breast Clinic | 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 |
34515 9TH AVE S STE 204 |
| City | FEDERAL WAY |
| State | WA |
| Zip Code | 98003-6761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093719684 | Andrew M Elizaga | Anesthesiology | 34515 9th Ave S, Federal Way, WA 98003-6761 | 2005-06-10 |
| 1053926444 | Affiliated Radiology, LLC | Clinic/Center | 34515 9th Ave S, Federal Way, WA 98003-6761 | 2020-09-11 |
| 1275146318 | Kainat Ikram | Registered Nurse | 34515 9th Ave S, Federal Way, WA 98003-6761 | 2020-08-28 |
| 1144873324 | Bernice Francesca Wanta Rebutiaco | Registered Nurse | 34515 9th Ave S, Federal Way, WA 98003-6761 | 2019-07-17 |
| 1811454564 | Amy Decker | Social Worker | 34515 9th Ave S, Federal Way, WA 98003-6761 | 2019-02-28 |
| 1982175527 | Nathan Harding | Physician Assistant | 34515 9th Ave S, Federal Way, WA 98003-6761 | 2018-12-07 |
| 1316414170 | Jaqueline Manjarrez Delgado | Registered Nurse | 34515 9th Ave S, Federal Way, WA 98003-6761 | 2018-10-30 |
| 1225543622 | Celina May Georgia | Nurse Practitioner | 34515 9th Ave S, Federal Way, WA 98003-6761 | 2017-12-07 |
| 1023539376 | Northwest Observation Associates PC | Hospitalist | 34515 9th Ave S, Federal Way, WA 98003-6761 | 2017-06-27 |
| 1407233174 | Jonathan Barnier | Anesthesiology | 34515 9th Ave S, Federal Way, WA 98003-6761 | 2015-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634969 | Jossie Jeniffer Wong-vicuna | Interpreter | 3001 S 288th Street, 201, Ferderal Way, WA 98003 | 2020-09-17 |
| 1336642420 | Otto Family | Massage Therapist | 720 S 348th St Ste A-1b, Federal Way, WA 98003 | 2018-03-14 |
| 1962912709 | Lindsay Plumley | Occupational Therapist | 33330 8th Avenue S, Federal Way, WA 98003 | 2017-10-06 |
| 1861922387 | Sea Mar Community Health Centers | Pharmacy | 31405 18th Ave South, Federal Way, WA 98003 | 2017-06-18 |
| 1023547072 | Iora Health Washington Physicians, P.C. | Internal Medicine | 1414 S. 324th Street, Federal Way, WA 98003 | 2017-06-05 |
| 1811346869 | Iora Senior Health Inc | Internal Medicine | 1414 S 324th St, Federal Way, WA 98003 | 2016-06-10 |
| 1972958940 | Kathy Marie Haviland | Registered Nurse | 1010 S. 336th St, Supplemental Health Care, Federal Way, WA 98003 | 2016-04-27 |
| 1972969343 | Jacklyn Marie James | Specialist | 530 South 336th Street, Ste C, Massage for Health and Day Spa, Inc., Federal Way, WA 98003 | 2016-01-14 |
| 1659767036 | Jillian Liner | Pediatrics | 34503 9th Ave S Ste 220, Federal Way, WA 98003 | 2015-04-12 |
| 1235537739 | Simranjit Singh Longia | Student in an Organized Health Care Education/Training Program | 34618 11th Ave. S., Suite 100, Federal Way, WA 98003 | 2014-12-15 |
| Find all providers in zip 98003 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134237696 | Franciscan Medical Group | Surgery | 200 S 333rd St, Ste 150, Federal Way, WA 98003-7359 | 2006-08-26 |
| 1669401048 | Mark Roland Nyreen | Surgery | 34509 9th Ave S Ste 208, Federal Way, WA 98003-8709 | 2006-06-30 |
| 1245267327 | Center for Weight Loss Surgery Pllc | Surgery | 34509 9th Ave. South, Suite 103, Federal Way, WA 98003-8707 | 2006-06-26 |
| 1124096649 | Theodore Koichi Inouye | Surgery | 34509 9th Ave S, Ste 208, Federal Way, WA 98003-8709 | 2006-03-10 |
| 1366419103 | Richard Raymond Gould | Surgery | 34509 9th Ave S Ste 204, Federal Way, WA 98003-8708 | 2006-03-01 |
| 1477791093 | Franciscan Medical Group | Surgery | 34509 9th Ave S, Ste 208, Federal Way, WA 98003-6700 | 2009-02-04 |
| 1316109705 | Michelle Lee Haslinger | Surgery | 34509 9th Ave S Ste 204, Federal Way, WA 98003-8708 | 2008-06-27 |
| 1477768364 | Bradley Demarais | Surgery | 34509 9th Ave S Ste 208, Federal Way, WA 98003-8709 | 2007-05-14 |
| 1356560056 | Franciscan Medical Group | Surgery | 34709 9th Ave S, #b-500, Federal Way, WA 98003-8722 | 2007-04-24 |
| 1760506422 | Stanley S Ip | Surgery | 34509 9th Ave S, Suite 208, Federal Way, WA 98003-6700 | 2007-03-19 |
| Find all providers in FEDERAL WAY | ||||
| City | FEDERAL WAY |
| Zip Code | 98003 |
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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.