FRANCISCAN MEDICAL GROUP (NPI# 1538313036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538313036 |
| Entity Type | Organization |
| Organization Name | FRANCISCAN MEDICAL GROUP |
| Other Organization Name | FMG-PATHWAYS FAMILY HEALTH |
| Practice Address |
11511 Canterwood Blvd Nw Suite 100 Gig Harbor WA 98332 |
| Practice Telephone | 2535302610 |
| Practice Fax Number | 2535302619 |
| Mailing Telephone | 2535302610 |
| Mailing Fax Number | 2535302619 |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2009-02-04 |
| Authorized Official Name | CLIFF ROBERTSON (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 2537796101 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD00039111 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | CRIME VICTIMS | 8945600 | 01 |
| Other Name | Type Code |
|---|---|
| FMG-Pathways Family Health | 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 |
11511 CANTERWOOD BLVD NW SUITE 100 |
| City | GIG HARBOR |
| State | WA |
| Zip Code | 98332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952306037 | Lance Lebrecht Bear | Orthopaedic Surgery | 11511 Canterwood Blvd Nw, Ste 205, Gig Harbor, WA 98332-5813 | 2005-06-16 |
| 1508343369 | Melanie Refuerzo | Occupational Therapist | 11511 Canterwood Blvd Nw, Gig Harbor, WA 98332-5813 | 2018-07-25 |
| 1275029621 | Melissa Renee Means | Registered Nurse | 11511 Canterwood Blvd Nw, Gig Harbor, WA 98332 | 2018-07-09 |
| 1104362490 | Mh Wellness & Acupuncture Studio | Acupuncturist | 11511 Canterwood Blvd Nw, Ste 40, Gig Harbor, WA 98332-5813 | 2017-01-11 |
| 1528443827 | Jamie Kathleen Mullen | Chiropractor | 11511 Canterwood Blvd Nw, Ste 210, Gig Harbor, WA 98332-5818 | 2015-07-28 |
| 1740667955 | Franciscan Health System | Genetic Counselor, MS | 11511 Canterwood Blvd Nw, Ste 45, Gig Harbor, WA 98332-5813 | 2015-04-27 |
| 1821363300 | Franciscan Health System | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11511 Canterwood Blvd Nw, Suite 50, Gig Harbor, WA 98332-5813 | 2012-03-15 |
| 1215200977 | Franciscan Health System | Registered Nurse | 11511 Canterwood Blvd Nw, Suite 220, Gig Harbor, WA 98332-5813 | 2012-02-10 |
| 1871888933 | Franciscan Medical Group | Internal Medicine | 11511 Canterwood Blvd Nw, Ste 110, Gig Harbor, WA 98332-5813 | 2011-06-16 |
| 1801181243 | Franciscan Medical Group | Surgery | 11511 Canterwood Blvd Nw, Suite 145, Gig Harbor, WA 98332-5813 | 2011-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023584125 | William Edmondson Wells | Counselor | Wccw, 9601 Bujacick Rd. Nw, Gig Harbor, WA 98332 | 2018-10-17 |
| 1417446758 | Janelle Elizabeth Becker | Physician Assistant | 11511 Canterwood Blvd Nw Ste 205, Gig Harbor, WA 98332 | 2018-05-02 |
| 1205252046 | Jenny Wical | Registered Nurse | 12201 Osprey Dr. Nw, Gig Harbor, WA 98332 | 2014-03-17 |
| 1134486616 | Jacinda Leigh Pickett | Pharmacist | 10990 Harbor Hill Dr, Gig Harbor, WA 98332 | 2012-04-20 |
| 1114242898 | Michael Robert Conger | Urology | 9704 Woodworth Ave Nw, Gig Harbor, WA 98332 | 2010-04-06 |
| 1346473899 | Robert Howard Lerman | Internal Medicine | 9770 44th Ave Nw, Suite 102, Gig Harbor, WA 98332 | 2009-09-01 |
| 1447406699 | Franciscan Health System | General Acute Care Hospital | 11567 Canterwood Blvd, Gig Harbor, WA 98332 | 2008-08-07 |
| 1730303249 | Richard Mason Coyner | Dentist | 7715 Pioneer Way, Gig Harbor, WA 98332 | 2007-04-13 |
| 1902978711 | Byron D Fenton | Chiropractor | 14619 Purdy Dr, Gig Harbor, WA 98332 | 2006-11-15 |
| 1063515351 | Gordon Bernstein | Radiology | 5304 W Old Stump Dr Nw, Gig Harbor, WA 98332 | 2006-09-05 |
| Find all providers in zip 98332 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851917074 | Kaiser Foundation Health Plan of Washington | Family Medicine | 5216 Point Fosdick Dr # 102, Gig Harbor, WA 98335-0037 | 2020-06-23 |
| 1831518596 | Ashley Girdler | Family Medicine | 4545 Point Fosdick Dr Nw Ste 250, Gig Harbor, WA 98335-1700 | 2014-04-10 |
| 1174899157 | Jan Ellen Grouse | Family Medicine | 8316 86th Ave Nw, Gig Harbor, WA 98332-6747 | 2012-03-23 |
| 1295862159 | Dennis J Galvon | Family Medicine | 4423 Point Fosdick Nwdr 212, Gig Harbor, WA 98335-1794 | 2007-02-27 |
| 1699799387 | John W Fuchs | Family Medicine | 623 122nd Street Ct Nw, Gig Harbor, WA 98332-9611 | 2006-07-26 |
| 1881613230 | Faron Bauer | Family Medicine | 4700 Point Fosdick Dr Nw Ste 102, Gig Harbor, WA 98335-1706 | 2006-07-18 |
| 1265478929 | Gary A. Koch | Family Medicine | 5216 Point Fosdick Dr Ste 102, Gig Harbor, WA 98335-0037 | 2006-06-21 |
| 1457330060 | Amanda Sue Cuda | Family Medicine | 4700 Point Fosdick Drive Nw Suite 220, Peninsula Family Medical Center, Gig Harbor, WA 98335 | 2006-01-11 |
| 1215919170 | Jennifer Emily Smith | Family Medicine | 4700 Point Fosdick Dr Nw Ste 220, Gig Harbor, WA 98335-1706 | 2005-11-16 |
| 1245220672 | Gregory Mark Ennis | Family Medicine | 6401 Kimball Dr, Suite 201, Gig Harbor, WA 98335-1228 | 2005-10-26 |
| Find all providers in GIG HARBOR | ||||
| City | GIG HARBOR |
| Zip Code | 98332 |
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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.