FRANCISCAN MEDICAL GROUP (NPI# 1902137763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902137763 |
| Entity Type | Organization |
| Organization Name | FRANCISCAN MEDICAL GROUP |
| Other Organization Name | FMG HOSPITALIST UROLOGY |
| Practice Address |
1624 S I St Ste 204 Tacoma WA 98405-5016 |
| 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 |
1624 S I ST STE 204 |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-5016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962407312 | John A Kennedy | Internal Medicine | 1624 S I St, Ste 303, Tacoma, WA 98405-5093 | 2005-06-14 |
| 1205330503 | Flora Lea Galloway | Registered Nurse | 1624 S I St, Tacoma, WA 98405 | 2018-03-21 |
| 1417329970 | Nicole Treanor | Dietitian, Registered | 1624 S I St, Suite 206, Tacoma, WA 98405-5016 | 2015-10-23 |
| 1326456070 | Northwest Medical Specialties, Pllc | Internal Medicine | 1624 S I St, Suite 305, Tacoma, WA 98405-5016 | 2014-07-25 |
| 1063765741 | Margaret Ann Walker | Physician Assistant | 1624 S I St, Suite 305, Tacoma, WA 98405-5016 | 2012-10-18 |
| 1356625388 | Julie M Peerboom | Nurse Practitioner | 1624 S I St, Ste 402, Tacoma, WA 98405-5016 | 2011-10-10 |
| 1285918011 | Hannah Nagle Mccabe | Registered Nurse | 1624 S I St, Ste 204, Tacoma, WA 98405-5016 | 2011-09-28 |
| 1205116613 | Catherine Sanders Maskell | Nurse Practitioner | 1624 S I St, Suite 102, Tacoma, WA 98405-5016 | 2011-08-17 |
| 1477858330 | Leah M Spoonemore | Dietitian, Registered | 1624 S I St, Tacoma, WA 98405-5016 | 2011-01-24 |
| 1841593183 | Neville Lewis Md., P.s | Specialist | 1624 S I St, Ste # 301, Tacoma, WA 98405-5016 | 2010-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| 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 |
|---|---|---|---|---|
| 1730447731 | Daniel Christian Sackman | Urology | 3124 South 19th St #c320, Tacoma, WA 98405-3011 | 2012-04-26 |
| 1073886438 | Peter John Minich | Urology | 3124 S 19th St Ste 240, Tacoma, WA 98405-2433 | 2012-02-15 |
| 1780909184 | Matthew Michael Banti | Urology | Urology Service Madigan Army Ctr, 9040 Jackson Ave, Tacoma, WA 98431-1100 | 2010-03-29 |
| 1942436886 | Charles Y Chang | Urology | 3124 S 19th St # 320, Tacoma, WA 98405-2433 | 2009-06-05 |
| 1649442682 | Patrick Shannon Mcdonough | Urology | Madigan Army Medical Center - Bldg 9040, Fitzsimmons Drive, Tacoma, WA 98431-0001 | 2008-03-31 |
| 1063525723 | Scott Paul Cuda | Urology | Madigan Army Medical Center 9040 Jackson Avenu, Tacoma, WA 98431-7282 | 2006-08-16 |
| 1306879366 | Jack Ryan Walter | Urology | 9040 Jackson Ave Mamc Urology, Tacoma, WA 98431 | 2006-07-09 |
| 1134472798 | Carolyn Anne Salter | Urology | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2012-10-19 |
| 1477839066 | Richard Johnston | Urology | 1708 Yakima Ave, Suite 310, Tacoma, WA 98405-5307 | 2011-10-26 |
| 1043544224 | Franciscan Medical Group | Urology | 1624 S I St, #204, Tacoma, WA 98405-5016 | 2009-09-22 |
| Find all providers in TACOMA | ||||
Please comment or provide details below to improve the information on FRANCISCAN MEDICAL GROUP.
| 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.