FRANCISCAN MEDICAL GROUP (NPI# 1871888933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871888933 |
| Entity Type | Organization |
| Organization Name | FRANCISCAN MEDICAL GROUP |
| Other Organization Name | FRANCISCAN HEART AND VASCULAR ASSSOCIATES AT ST ANTHONY |
| Practice Address |
11511 Canterwood Blvd Nw Ste 110 Gig Harbor WA 98332-5813 |
| Practice Telephone | 2533823716 |
| Practice Fax Number | 2536276576 |
| Mailing Telephone | 2533823716 |
| Mailing Fax Number | 2536276576 |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2011-06-16 |
| Authorized Official Name | STEPHEN SPARE (PRESIDENT AND CMO) |
| Authorized Official Telephone | 2536804009 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Franciscan Heart and Vascular Asssociates at St Anthony | 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 STE 110 |
| City | GIG HARBOR |
| State | WA |
| Zip Code | 98332-5813 |
| 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 |
| 1801181243 | Franciscan Medical Group | Surgery | 11511 Canterwood Blvd Nw, Suite 145, Gig Harbor, WA 98332-5813 | 2011-06-14 |
| 1316251747 | Franciscan Medical Group | Obstetrics & Gynecology | 11511 Canterwood Blvd Nw, Ste 145, Gig Harbor, WA 98332-5813 | 2010-07-27 |
| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255315495 | Robert S Emerick | Internal Medicine | 4423 Point Fosdick Dr Nw, Suite 300, Gig Harbor, WA 98335-1797 | 2005-12-01 |
| 1063646057 | Franciscan Medical Group | Internal Medicine | 4700 Point Fosdick Dr Nw, Ste 203-b, Gig Harbor, WA 98335-1706 | 2009-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255844163 | Shc Medical Center - Yakima | Internal Medicine | 1005 W Walnut St Ste 120, Yakima, WA 98902-3360 | 2017-11-14 |
| 1295113108 | Sophia Larson | Internal Medicine | 1959 Ne Pacific St Ste Bb-552, Seattle, WA 98195 | 2015-05-12 |
| 1780002485 | Kavisha Singh | Internal Medicine | 62 W 7th Ave Ste 450, Spokane, WA 99204-2321 | 2014-04-01 |
| 1740522127 | Takor Besong Arrey-mbi | Internal Medicine | Madigan Army Medicalcenter 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2013-03-22 |
| 1023357845 | Samuel Everett George | Internal Medicine | 19005 Se 34th St Bldg 3, Vancouver, WA 98683 | 2013-02-14 |
| 1386997740 | Fredric Tobis | Internal Medicine | 7411 Se 36th St, Mercer Island, WA 98040-3412 | 2012-10-23 |
| 1063716595 | Jeffrey David Feldstein | Internal Medicine | 5415 Ne 52nd St, Vancouver, WA 98661-7838 | 2010-12-23 |
| 1407162571 | Providence Health & Services - Washington | Internal Medicine | 510 E Amende Drive, Odessa, WA 99159-0000 | 2010-08-26 |
| 1881907715 | Providence Health & Services Washington | Internal Medicine | 62 W 7th Ave, Spokane, WA 99204-2321 | 2010-07-20 |
| 1720391659 | Providence Health & Services | Internal Medicine | 629 Jasmine St, Omak, WA 98841 | 2010-07-20 |
| Find all providers with the same taxonomy | ||||
| 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.