FRANCISCAN MEDICAL GROUP (NPI# 1558692319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558692319 |
| Entity Type | Organization |
| Organization Name | FRANCISCAN MEDICAL GROUP |
| Other Organization Name | FMG HOSPITALIST UROLOGY |
| Practice Address |
6401 Kimball Dr Gig Harbor WA 98335-1228 |
| 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 Hospitalist 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 |
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 |
| 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 |
| 1619020070 | Lisa Ann Hashman | Pediatrics | 6401 Kimball Dr, 104, Gig Harbor, WA 98335-1228 | 2007-01-19 |
| 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 | 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 |
|---|---|---|---|---|
| 1710242714 | Ralph Vernon Stagner | Urology | 3414 Horsehead Bay Dr. N.w., Gig Harbor, WA 98335 | 2012-07-06 |
| 1043579980 | Richard Kenneth Ohme | Urology | 3108 E Bay Dr Nw, Gig Harbor, WA 98335-7610 | 2012-05-13 |
| 1114242898 | Michael Robert Conger | Urology | 9704 Woodworth Ave Nw, Gig Harbor, WA 98332 | 2010-04-06 |
| 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 |
| 1376874131 | Franciscan Medical Group | Urology | 4700 Point Fosdick Dr Nw, Ste 102, Gig Harbor, WA 98335-1706 | 2010-01-19 |
| 1770567893 | Christopher S. Arroyo | Urology | 6401 Kimball Dr, Ms 52-04, Gig Harbor, WA 98335-1228 | 2005-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371532 | Jeffrey Allen Zhan | Urology | Good Samaritan Medical Office Bldg 1450 5th St Se, Suite 2100- Urology Clinic, Puyallup, WA 98372 | 2019-11-21 |
| 1023400041 | Pacific Northwest Urology Specialists, Pllc | Urology | 4545 Cordata Pkwy Ste 1a, Bellingham, WA 98226-7264 | 2015-02-27 |
| 1598182818 | Boston Medical Group- Washington, P.C. | Urology | 12301 N.e. 10th Place, Suite 101, Bellevue, WA 98005 | 2014-03-25 |
| 1033552823 | Carol Collins | Urology | 272 Health Sciences, 1959 Ne Pacific St, Seattle, WA 98195-7610 | 2013-04-10 |
| 1740523158 | Kacey Helena Provenzano | Urology | 780 Swift Blvd Ste 201, Richland, WA 99352 | 2013-04-03 |
| 1023366283 | William P Griggs | Urology | 2160 Dellesta Dr, Bellingham, WA 98226-7850 | 2012-08-20 |
| 1730447731 | Daniel Christian Sackman | Urology | 3124 South 19th St #c320, Tacoma, WA 98405-3011 | 2012-04-26 |
| 1144595299 | Philip Clark May | Urology | 11911 Ne 132nd St Ste 200, Kirkland, WA 98034 | 2012-03-21 |
| 1073886438 | Peter John Minich | Urology | 3124 S 19th St Ste 240, Tacoma, WA 98405-2433 | 2012-02-15 |
| 1366731887 | Helena Chih-hua Chang | Urology | 1536 N 115th St Ste 300, Seattle, WA 98133-8400 | 2011-04-05 |
| Find all providers with the same taxonomy | ||||
| City | GIG HARBOR |
| Zip Code | 98335 |
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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.