FRANCISCAN MEDICAL GROUP (NPI# 1659536449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659536449 |
| Entity Type | Organization |
| Organization Name | FRANCISCAN MEDICAL GROUP |
| Other Organization Name | FRANCISCAN VASCULAR ASSOCIATES - AUBURN |
| Practice Address |
202 N Division St # 201 Auburn WA 98001-4939 |
| Practice Telephone | 2534266363 |
| Practice Fax Number | 2538338081 |
| Mailing Telephone | 2534266363 |
| Mailing Fax Number | 2538338081 |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2012-09-13 |
| Authorized Official Name | CLIFF A. ROBERTSON (PRESIDENT) |
| 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 | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | STATE L&I | 0237903 | 01 |
| WA | 7143332 | 05 |
| Other Name | Type Code |
|---|---|
| Franciscan Vascular Associates - Auburn | 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 |
202 N DIVISION ST # 201 |
| City | AUBURN |
| State | WA |
| Zip Code | 98001-4939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255335840 | Mark Flanery | Anesthesiology | 202 N Division St, Auburn, WA 98001-4939 | 2005-06-10 |
| 1053925834 | Marcellis Dodson-smith | Registered Nurse | 202 N Division St, Auburn, WA 98001-4939 | 2020-08-31 |
| 1548885916 | Christopher Charles Linderman | Registered Nurse | 202 N Division St, Auburn, WA 98001-4939 | 2020-06-11 |
| 1891315909 | Gage S Crowe | Nurse's Aide | 202 N Division St, Auburn, WA 98001-4939 | 2020-04-18 |
| 1154882736 | Sherry Wilson | Nurse Practitioner | 202 N Division St, Auburn, WA 98001-4939 | 2019-03-27 |
| 1447721857 | Todd Evan Im | Pharmacist | 202 N Division St, Auburn, WA 98001-4939 | 2018-12-10 |
| 1851899058 | Linh Huynh Libuit | Physician Assistant | 202 N Division St, Auburn, WA 98001-4939 | 2018-01-23 |
| 1194199703 | Stephanie Collins | Student in an Organized Health Care Education/Training Program | 202 N Division St, Auburn, WA 98001-4939 | 2015-11-19 |
| 1467824094 | Multicare Health Systems | Pharmacy | 202 N Division St, Auburn, WA 98001-4939 | 2015-10-22 |
| 1235500224 | Benjamin K Chan | Pharmacist | 202 N Division St, Auburn, WA 98001-4939 | 2015-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336770403 | Qinghua Zhao | Massage Therapist | 1101 Outlet Collection Way #1324, Auburn, WA 98001 | 2020-01-28 |
| 1841821154 | Sufang Liang | Massage Therapist | 1101 Outlet Collection Way, #1324, Auburn, WA 98001 | 2020-01-27 |
| 1477024537 | Kayla R Kranz | Dietitian, Registered | 202 N. Division Street, Mailstop: 202-c1-ns, Auburn, WA 98001 | 2018-12-16 |
| 1477028033 | Xioaping Liu | Acupuncturist | 201 S Division St Suite F, Auburn, WA 98001 | 2018-10-10 |
| 1831670041 | Debbie Kay Scott | Dental Hygienist | 4005 W Valley Hwy N, Auburn, WA 98001 | 2018-08-25 |
| 1447739537 | Cynthia Ann Kenaston | Registered Nurse | Soundpath Health, 32129 Weyerhaeuser Way S. Suite 201, Federal Way, WA 98001 | 2018-08-09 |
| 1104316447 | Stella Ngozi Igwala | Registered Nurse | 213 Junction Blvd, Algona, WA 98001 | 2018-05-11 |
| 1194222737 | Multicare Health System | Durable Medical Equipment & Medical Supplies | Plaza Two, 202 N Division St, #103, Auburn, WA 98001 | 2018-04-10 |
| 1134638679 | Jane Mburu | Registered Nurse | 29568 54th Court S, Auburn, WA 98001 | 2017-09-27 |
| 1467961219 | Messay A Belachew | Registered Nurse | 29717 48th Ave S, Auburn, WA 98001 | 2017-09-25 |
| Find all providers in zip 98001 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518570068 | Leg Health Vascular Centers, Inc | Surgery | 2375 Champions Blvd Ste 100, Auburn, AL 36830-6471 | 2020-08-25 |
| 1811154537 | Omar K Dorzi | Surgery | 202 N Division St, #402, Auburn, WA 98001-4939 | 2008-05-20 |
| 1215128228 | Franciscan Health System | Surgery | 202 N Division St, Ste 402, Auburn, WA 98001-4939 | 2007-08-05 |
| 1821105164 | John N Diaconou | Surgery | 202 N Division St, Ste 402, Auburn, WA 98001-4939 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710496922 | Sunnyside Community Hospital Association | Surgery | 1005 W Walnut St Ste 201, Yakima, WA 98902-3384 | 2017-09-20 |
| 1750762415 | Anna Ohlsson | Surgery | 325 9th Ave # 359908, Seattle, WA 98104-2420 | 2015-06-17 |
| 1356722938 | Usa Vascular Centers of Kent Pllc | Surgery | 26124a Pacific Hwy S Ste A, Kent, WA 98032-6910 | 2015-06-09 |
| 1154602084 | Memorial Physicians, Pllc | Surgery | 1812 E Edison Ave, Sunnyside, WA 98944-1653 | 2011-09-06 |
| 1528387941 | Sara Jane Wasilenko | Surgery | 128 Lilly Rd Ne Ste 205, Olympia, WA 98506-7400 | 2010-05-25 |
| 1801051404 | Franciscan Medical Group | Surgery | 710 S 348th St, Ste A, Federal Way, WA 98003-7042 | 2008-07-23 |
| 1013104165 | John S Arthur | Surgery | 2528 Wheaton Way Ste 101, Bremerton, WA 98310-3305 | 2007-10-02 |
| 1891986097 | Vascular Associates, Ps | Surgery | 801 Broadway Ste 522, Seattle, WA 98122-4325 | 2007-08-05 |
| 1447464730 | Mai Thanh Pham | Surgery | 1229 Madison St Suite # 1190, Seattle, WA 98104 | 2007-05-09 |
| 1649491481 | Dae Young Lee | Surgery | 1100 Goethals Drive 3rd Floor, Kadlec Clinic Vascular Surgery, Richland, WA 99352-3304 | 2007-05-01 |
| Find all providers with the same taxonomy | ||||
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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.