FRANCISCAN HEALTH SYSTEM (NPI# 1124062997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124062997 |
| Entity Type | Organization |
| Organization Name | FRANCISCAN HEALTH SYSTEM |
| Other Organization Name | ST JOSEPH CARDIOTHORACIC SURGEONS |
| Practice Address |
1802 Yakima Ave Suite 102 Tacoma WA 98405-4499 |
| Practice Telephone | 2532727777 |
| Practice Fax Number | 2534264142 |
| Mailing Telephone | 2532727777 |
| Mailing Fax Number | 2534264142 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2012-07-09 |
| Authorized Official Name | MR. MIKE FITZGERALD (VP FINANCIAL OPS) |
| Authorized Official Telephone | 2535524105 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRANCISCAN HEALTH SYSTEM |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LEGACY | GAB07438 | 01 |
| WA | L&I | 0292620 | 01 |
| WA | CRIME VICTIMS | 8939625 | 01 |
| WA | MEDICARE | G8868766 | 01 |
| WA | RR MEDICARE | P00625530 | 01 |
| WA | STATE L&I | 0191190 | 01 |
| WA | L&I | 0293927 | 01 |
| WA | MEDICARE RAILROAD | CU0613 | 01 |
| WA | 7125818 | 05 |
| Other Name | Type Code |
|---|---|
| St Joseph Cardiothoracic Surgeons | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255838694 | Franciscan Health System | Clinic/Center | 19420 State Route 410 E, Bonney Lake, WA 98391-8472 | 2018-04-11 |
| 1356687271 | Franciscan Health System | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2920 S Meridian, Ste 100, Puyallup, WA 98373-1428 | 2012-12-20 |
| 1093952145 | Franciscan Health System | Psychologist | 4908 112th St Sw, Lakewood, WA 98499-5143 | 2009-01-12 |
| 1447406699 | Franciscan Health System | General Acute Care Hospital | 11567 Canterwood Blvd, Gig Harbor, WA 98332 | 2008-08-07 |
| 1700951258 | Franciscan Health System | Pharmacy | 2901 Bridgeport Way Suite 128, University Place, WA 98466-4614 | 2006-11-21 |
| 1083716229 | Franciscan Health System | Pharmacy | 11315 Bridgeport Way Sw Ste A1087, Lakewood, WA 98499-3004 | 2006-09-01 |
| 1477579670 | Franciscan Health System | Clinic/Center | 4700 Point Fosdick Dr Nw Ste 101, Gig Harbor, WA 98335-1706 | 2006-07-14 |
| 1336164631 | Franciscan Health System | Clinic/Center | 702 S Hill Park Dr Ste 105, Puyallup, WA 98373-1426 | 2006-07-13 |
| 1952309098 | Franciscan Health System | General Acute Care Hospital | 1717 S J St, Tacoma, WA 98405-4933 | 2005-07-12 |
| 1558748616 | Franciscan Health System | Genetic Counselor, MS | 1617 S J St, Tacoma, WA 98405-4930 | 2015-04-28 |
| Street Address |
1802 YAKIMA AVE SUITE 102 |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-4499 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356346936 | James Gregory Roberts | Surgery | 1802 Yakima Ave, Ste 204, Tacoma, WA 98405-4499 | 2005-06-20 |
| 1215393111 | Catherine Rehberger | Nurse Practitioner | 1802 Yakima Ave, 102, Tacoma, WA 98405-4499 | 2016-01-07 |
| 1548665318 | Franciscan Health System | Durable Medical Equipment & Medical Supplies | 1802 Yakima Ave, Suite 201, Tacoma, WA 98405-4499 | 2014-10-23 |
| 1144652629 | Erik Daniel Kellison | Pharmacist | 1802 Yakima Ave, Suite 302, Tacoma, WA 98405-4499 | 2013-08-06 |
| 1679837868 | Ashley Kay Kauzlaric | Nurse Practitioner | 1802 Yakima Ave, Suite 302, Tacoma, WA 98405-4499 | 2012-07-02 |
| 1225398589 | Franciscan Medical Group | Internal Medicine | 1802 Yakima Ave, Suite 304, Tacoma, WA 98405-4499 | 2012-05-21 |
| 1770850570 | Sarah Jones Lahnert | Physician Assistant | 1802 Yakima Ave, Suite 302, Tacoma, WA 98405-4499 | 2011-11-22 |
| 1760768402 | Franciscan Medical Group | Surgery | 1802 Yakima Ave, Ste 204, Tacoma, WA 98405-4499 | 2011-10-26 |
| 1881989945 | Franciscan Medical Group | Internal Medicine | 1802 Yakima Ave, Ste 307, Tacoma, WA 98405-4499 | 2011-06-16 |
| 1699060756 | Franciscan Medical Group | Internal Medicine | 1802 Yakima Ave, Ste 302, Tacoma, WA 98405-4499 | 2011-06-16 |
| 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 | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003011917 | Nyen V Chong | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1802 S Yakima, Ste 102, Tacoma, WA 98405-5303 | 2007-06-19 |
| 1043256779 | Wendel J Smith | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3015 N 33rd St, Tacoma, WA 98407-6420 | 2006-06-21 |
| 1720020043 | G. Gilbert Johnston | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1802 Yakima Ave Ste 102, Tacoma, WA 98405-5303 | 2006-06-12 |
| 1538471503 | Thomas Paul Templin II | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1802 Yakima Ave Ste 102, Tacoma, WA 98405-5303 | 2010-07-07 |
| 1548423940 | Susan Michelle Hecker | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1802 Yakima Ave, Suite 102, Tacoma, WA 98405-4499 | 2008-07-07 |
| 1700902368 | Northwest Cardiovascular | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1812 S J St, Suite 210, Tacoma, WA 98405-4964 | 2007-03-22 |
| 1336207042 | Keith Austin Havenstrite | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 314 Martin Luther King Jr Way, Tacoma, WA 98405-4250 | 2006-12-05 |
| 1639253313 | Bahirathan Krishnadasan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1802 Yakima Ave, Suite 102, Tacoma, WA 98405-4499 | 2006-10-25 |
| 1932212867 | Allen Graeve | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 314 Martin Luther King Jr Way, Tacoma, WA 98405-4250 | 2006-08-16 |
| 1801821756 | John Michael Luber Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1802 Yakima Ave Ste 102, Tacoma, WA 98405-5303 | 2006-07-11 |
| Find all providers in TACOMA | ||||
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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.