FRANCISCAN MEDICAL GROUP (NPI# 1366686198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366686198 |
| Entity Type | Organization |
| Organization Name | FRANCISCAN MEDICAL GROUP |
| Other Organization Name | FMG-FRANCISCAN BEHAVIORAL MEDICINE |
| Practice Address |
11311 Bridgeport Way Sw Ste 307 Lakewood WA 98499-3071 |
| Practice Telephone | 2537796215 |
| Practice Fax Number | 2537796191 |
| Mailing Telephone | 2537796215 |
| Mailing Fax Number | 2537796191 |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2009-04-23 |
| Authorized Official Name | DEAN FIELD (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 2538589192 |
| 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 | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| FMG-Franciscan Behavioral Medicine | 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 |
11311 BRIDGEPORT WAY SW STE 307 |
| City | LAKEWOOD |
| State | WA |
| Zip Code | 98499-3071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760481048 | Zhiqian Wang | Internal Medicine | 11311 Bridgeport Way Sw, Ste 214, Lakewood, WA 98499-3051 | 2005-07-19 |
| 1932597523 | Perri Connell | Physician Assistant | 11311 Bridgeport Way Sw, Suite 100, Lakewood, WA 98499-3071 | 2015-01-05 |
| 1730454489 | Laura Ann Murphy | Physician Assistant | 11311 Bridgeport Way Sw, Suite 214, Lakewood, WA 98499-3071 | 2012-03-14 |
| 1285905992 | Franciscan Health System | Pharmacist | 11311 Bridgeport Way Sw, Suite 300, Lakewood, WA 98499 | 2012-01-26 |
| 1992088991 | Tori Grace Franklin | Physician Assistant | 11311 Bridgeport Way Sw, Suite 205, Lakewood, WA 98499-3071 | 2011-09-26 |
| 1770863466 | Franciscan Medical Group | Internal Medicine | 11311 Bridgeport Way Sw, Ste 207, Lakewood, WA 98499-3071 | 2011-08-25 |
| 1962797027 | Franciscan Medical Group | Internal Medicine | 11311 Bridgeport Way Sw, Ste 202, Lakewood, WA 98499-3071 | 2011-06-16 |
| 1093009508 | Franciscan Medical Group | Orthopaedic Surgery | 11311 Bridgeport Way Sw, Ste 205, Lakewood, WA 98499-3071 | 2011-06-01 |
| 1962722868 | Franciscan Medical Group | Psychiatry & Neurology | 11311 Bridgeport Way Sw, Ste 205, Lakewood, WA 98499-3071 | 2010-06-03 |
| 1669708590 | Franciscan Medical Group | Dietitian, Registered | 11311 Bridgeport Way Sw, Ste 304, Lakewood, WA 98499-3071 | 2009-10-28 |
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| 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 | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396390845 | Penny Leah Tanner, P.s. | Psychiatry & Neurology | 7424 Bridgeport Way W Ste 302, Lakewood, WA 98499-8135 | 2019-08-01 |
| 1295206092 | Pinnacle Interventional Psychiatry | Psychiatry & Neurology | 1450 Hoyt St, Lakewood, CO 80215-4763 | 2018-12-06 |
| 1043625999 | Derek Christopher Johnson | Psychiatry & Neurology | 255 S Routt St Ste 215, Lakewood, CO 80228-2271 | 2014-06-29 |
| 1003110495 | Dwight A Bergquist Md Inc | Psychiatry & Neurology | 5230 N. Clark Avenue, Suite 10, Lakewood, CA 90712-2649 | 2010-12-29 |
| 1194056234 | Tracie D Harvey Md A Medical Corporation | Psychiatry & Neurology | 4067 Hardwick St, Suite 313, Lakewood, CA 90712-2350 | 2010-01-28 |
| 1982849659 | Syed Ali Raza Shamsi | Psychiatry & Neurology | 305 E. Fairmont Avenue, Unit 7, Lakewood, NY 14750 | 2008-12-10 |
| 1649444829 | Hy Gia Young Park | Psychiatry & Neurology | 7525 W 10th Ave, Lakewood, CO 80214-4493 | 2008-04-17 |
| 1770614216 | David S. Wahl | Psychiatry & Neurology | 12600 W. Colfax Ave, Suite #c430, Lakewood, CO 80215-3760 | 2007-03-08 |
| 1225175193 | Joselita Chua | Psychiatry & Neurology | 12500 Edgewater Dr, #1402, Lakewood, OH 44107-1677 | 2007-01-31 |
| 1861557506 | Regina Yvonne Leverrier | Psychiatry & Neurology | 12157 W Cedar Dr Fl 2, Lakewood, CO 80228 | 2006-12-22 |
| 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.