FRANCISCAN MEDICAL GROUP (NPI# 1649218959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649218959 |
| Entity Type | Organization |
| Organization Name | FRANCISCAN MEDICAL GROUP |
| Other Organization Name | HARBOR ORTHOPEDIC CLINIC |
| Practice Address |
11511 Canterwood Blvd Nw Ste 205 Gig Harbor WA 98332-5813 |
| Practice Telephone | 2535302663 |
| Practice Fax Number | 2535302675 |
| Mailing Telephone | 2535302663 |
| Mailing Fax Number | 2535302675 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2010-06-14 |
| Authorized Official Name | DR. CLIFF A ROBERTSON (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 2537796101 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | FRANCISCAN MEDICAL GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | CRIME VICTIMS | 8906804 | 01 |
| WA | STATE L&I | 0201042 | 01 |
| WA | OWCP | 193293917 | 01 |
| WA | 7129711 | 05 |
| Other Name | Type Code |
|---|---|
| Harbor Orthopedic Clinic | 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 205 |
| 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 |
| 1871888933 | Franciscan Medical Group | Internal Medicine | 11511 Canterwood Blvd Nw, Ste 110, Gig Harbor, WA 98332-5813 | 2011-06-16 |
| 1801181243 | Franciscan Medical Group | Surgery | 11511 Canterwood Blvd Nw, Suite 145, Gig Harbor, WA 98332-5813 | 2011-06-14 |
| 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 | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902418189 | Proliance Surgeons, Inc., P.s. | Orthopaedic Surgery | 2727 Hollycroft St Ste 410, Gig Harbor, WA 98335-1369 | 2020-08-19 |
| 1356527147 | Louis Kretschmer | Orthopaedic Surgery | 3017 89th Avenue Ct Nw, Gig Harbor, WA 98335-6076 | 2008-01-11 |
| 1952306037 | Lance Lebrecht Bear | Orthopaedic Surgery | 11511 Canterwood Blvd Nw, Ste 205, Gig Harbor, WA 98332-5813 | 2005-06-16 |
| 1336791094 | Pro Sport Orthopedics, LLC | Orthopaedic Surgery | 5125 Olympic Dr Nw Ste 110, Gig Harbor, WA 98335-1712 | 2019-07-12 |
| 1427067842 | Robert A Yancey | Orthopaedic Surgery | 11511 Canterwood Blvd Nw, Ste 205, Gig Harbor, WA 98332-5818 | 2006-08-05 |
| 1063440048 | Mason J Platt | Orthopaedic Surgery | 4545 Point Fosdick Dr Nw, Suite 250, Gig Harbor, WA 98335-1700 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962968628 | Zachary Erin Schwartz | Orthopaedic Surgery | 9040 Fitzsimmons Drive- Orthopaedic Surgery, Joint Base Lewis Mcchord, WA 98431-1000 | 2019-02-18 |
| 1184106262 | Proliance Surgeons, Inc., P.s. | Orthopaedic Surgery | 18100 Ne Union Hill Rd Ste 330, Redmond, WA 98052-3330 | 2018-09-05 |
| 1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
| 1184137770 | Walter Franklin Krengel Jr. | Orthopaedic Surgery | 2000 1st Ave Suite 2201, Seattle, WA 98122 | 2017-11-06 |
| 1821443383 | Chelan County Public Hospital District No 2 | Orthopaedic Surgery | 505 B State, Route 20, Winthrop, WA 98862 | 2016-05-03 |
| 1609254747 | William M Fallon | Orthopaedic Surgery | 3990 Saltspring Dr, Ferndale, WA 98248-9598 | 2015-05-08 |
| 1528470861 | Richard Dean Thorson | Orthopaedic Surgery | 719 S. Laurel St, Olympic Chiropractic, Port Angels, WA 98362 | 2014-05-21 |
| 1740600840 | Peters T. Otlans | Orthopaedic Surgery | 16259 Sylvester Rd Sw Ste 501, Burien, WA 98166-3059 | 2014-04-16 |
| 1912324559 | Floyd Sekeramayi | Orthopaedic Surgery | 630 N Fairview Dr, Tacoma, WA 98406-1015 | 2014-03-20 |
| 1437589181 | Charles Larson | Orthopaedic Surgery | 2431 Park Hill Dr, Longview, WA 98632-5785 | 2013-11-16 |
| 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.