FRANCISCAN MEDICAL GROUP (NPI# 1598129561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598129561 |
| Entity Type | Organization |
| Organization Name | FRANCISCAN MEDICAL GROUP |
| Other Organization Name | FRANCISCAN URGENT CARE - PORT ORCHARD |
| Practice Address |
450 S Kitsap Blvd Suite 100 Port Orchard WA 98366-3773 |
| Practice Telephone | 3607446275 |
| Mailing Telephone | 3607446275 |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2016-04-06 |
| Authorized Official Name | MIKE FITZGERALD (CFO) |
| Authorized Official Telephone | 2536804005 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Franciscan Urgent Care - Port Orchard | 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 |
450 S KITSAP BLVD SUITE 100 |
| City | PORT ORCHARD |
| State | WA |
| Zip Code | 98366-3773 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922099696 | Melissa R Ottenbacher | Nurse Practitioner | 450 S Kitsap Blvd, Ste 2300, Port Orchard, WA 98366-3773 | 2005-11-02 |
| 1619224771 | Maryam Mostaghni Yazdi | Nurse Practitioner | 450 S Kitsap Blvd, Suite 100, Port Orchard, WA 98366-3773 | 2012-08-08 |
| 1821396904 | Laboratory Corporation of America | Clinical Medical Laboratory | 450 S Kitsap Blvd, Ste 144, Port Orchard, WA 98366-3773 | 2011-03-14 |
| 1437314614 | Young-ki Paik | Internal Medicine | 450 S Kitsap Blvd, Suite 250, Port Orchard, WA 98366 | 2008-07-27 |
| 1568585693 | Olympic Surgical Associates | Registered Nurse | 450 S Kitsap Blvd, Ste. 2220, Port Orchard, WA 98366-3773 | 2007-04-06 |
| 1972646750 | George W Dannells | Counselor | 450 S Kitsap Blvd, Suite 2600, Port Orchard, WA 98366-3773 | 2007-02-14 |
| 1679613244 | Harrison Medical Center | Clinic/Center | 450 S Kitsap Blvd, Suite 100, Port Orchard, WA 98366-3773 | 2007-02-06 |
| 1679628689 | Amy Jo Wesner | Counselor | 450 S Kitsap Blvd, Ste 2600, Port Orchard, WA 98366-3773 | 2007-01-23 |
| 1710030952 | Thomas M Hansen | Nurse Practitioner | 450 S Kitsap Blvd, Suite 200, Port Orchard, WA 98366-3773 | 2007-01-19 |
| 1225123060 | Farrell's Health Centers, Inc | Pharmacy | 450 S Kitsap Blvd, #1800, Port Orchard, WA 98366-3773 | 2006-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003423302 | Teresa M Derouin | Speech-Language Pathologist | Harbor Speech Pathology, 463 Tremont St W Suite 110, Port Orchard, WA 98366 | 2020-09-30 |
| 1316591217 | Martin Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 8079 E Main Street, Suite 101, Port Orchard, WA 98366 | 2019-07-29 |
| 1952822660 | Kristian Thomas Workman Haskins | Hearing Instrument Specialist | 1328 Colchester Drive S.e., Port Orchard, WA 98366 | 2017-07-03 |
| 1013466929 | Jenna Olafson | Counselor | 414 Front St. N, Issaquah, WA 98366 | 2016-10-04 |
| 1063884534 | Laurine Burrer | Licensed Practical Nurse | 2874 Se Lund Ave, Port Orchard, WA 98366 | 2015-10-23 |
| 1346640836 | Karen Diane Thompson | Pharmacy Technician | 1800 Sidney Ave, Apt 1-201, Port Orchard, WA 98366 | 2014-09-03 |
| 1588912042 | Celeste Kyle Interrante | Physical Therapy Assistant | 2051 Pottery Ave., Port Orchard, WA 98366 | 2012-08-15 |
| 1013227339 | Christine Davis | Massage Therapist | 1800 Se Mile Hill Drive, Suite 150, Port Orchard, WA 98366 | 2010-10-20 |
| 1932421724 | Mary Jo Stump | Physical Therapy Assistant | 2051 Pottery Avenue, Port Orchard, WA 98366 | 2010-02-19 |
| 1669707626 | Shannon Mary Baurichter | Speech-Language Pathologist | 1230 Bay St, Port Orchard, WA 98366 | 2009-10-08 |
| Find all providers in zip 98366 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679712533 | Summer Lee Damuth | Emergency Medicine | 8879 Se Mcbreen Ln, Port Orchard, WA 98367-7935 | 2009-02-16 |
| 1780660498 | James W Zacovic | Emergency Medicine | 450 S Kitsap Blvd Ste 100, Port Orchard, WA 98366-3709 | 2005-12-15 |
| 1578788329 | James A Campbell | Emergency Medicine | 450 So. Kitsap Blvd, Suite 100, Port Orchard, WA 98366 | 2007-04-16 |
| 1245381870 | Jeffrey Winslow | Emergency Medicine | 450 So Kitsap Blvd, Suite 100, Port Orchard, WA 98366 | 2007-01-12 |
| 1154364115 | Shane Op Brooks | Emergency Medicine | 450 S Kitsap Blvd, #100, Port Orchard, WA 98366-3773 | 2006-06-14 |
| 1619926177 | Laura B Moore | Emergency Medicine | 1141 Beach Dr E, Port Orchard, WA 98366 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659985554 | Trans-west Ambulance Service LLC | Emergency Medicine | 526 N West Ave # Pmb112, Arlington, WA 98223-1251 | 2020-09-08 |
| 1629602016 | Franciscan Medical Group | Emergency Medicine | 3556 Market Pl W Ste 109, University Place, WA 98466-4339 | 2020-02-25 |
| 1477010676 | Hcmd LLC | Emergency Medicine | 11477 Nw Admiral Pl, Silverdale, WA 98383-4503 | 2019-02-23 |
| 1801352505 | Western Washington Emergency Physicians Pllc | Emergency Medicine | 14815 Pacific Ave S, Parkland, WA 98444-4654 | 2019-02-18 |
| 1013490507 | Dispatchhealth Washington PC | Emergency Medicine | 6912 220th St Sw Ste 113, Mountlake Terrace, WA 98043-2174 | 2018-09-11 |
| 1659802320 | Anders Conway | Emergency Medicine | 413 Lilly Rd Ne Dept Of, Olympia, WA 98506-5133 | 2017-03-24 |
| 1457705147 | Daniel Hinds | Emergency Medicine | 10019 N Austin Ln, Spokane, WA 99208-6072 | 2016-04-19 |
| 1497140206 | Angus Agnew | Emergency Medicine | 315 M.l.k. Jr. Way, Tacoma, WA 98405 | 2015-03-30 |
| 1518376151 | Karthikeyan Muthuswamy | Emergency Medicine | St Clare Hospital Emergency Department, 11315 Bridgeport Way Sw, Lakewood, WA 98499 | 2014-08-07 |
| 1285041137 | Anthony Guynes | Emergency Medicine | Swedish Phys. Redmond, 18100 Ne Union Hill Rd. Ste 200, Redmond, WA 98052-3330 | 2014-07-11 |
| Find all providers with the same taxonomy | ||||
| City | PORT ORCHARD |
| Zip Code | 98366 |
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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.