FRANCISCAN MEDICAL GROUP (NPI# 1720375405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720375405 |
| Entity Type | Organization |
| Organization Name | FRANCISCAN MEDICAL GROUP |
| Other Organization Name | FRANSICAN WOMEN'S HEALTH-FW (OB HOSP) |
| Practice Address |
34709 9th Ave S Ste B-500 Federal Way WA 98003-8722 |
| Practice Telephone | 2539446950 |
| Practice Fax Number | 2536618603 |
| Mailing Telephone | 2539446950 |
| Mailing Fax Number | 2536618603 |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2011-07-01 |
| Authorized Official Name | STEPHEN V SPARE (PRESIDENT, CMO) |
| Authorized Official Telephone | 2536804009 |
| 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 | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Fransican Women's Health-FW (OB Hosp) | 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 |
34709 9TH AVE S STE B-500 |
| City | FEDERAL WAY |
| State | WA |
| Zip Code | 98003-8722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447212410 | Daniel R Mcnamara | Orthotist | 34709 9th Ave S, Suite A-100, Federal Way, WA 98003-8722 | 2006-04-05 |
| 1639727704 | Stacy Leigh Ingle | Advanced Practice Midwife | 34709 9th Ave S, Federal Way, WA 98003-8722 | 2019-08-30 |
| 1912449232 | Dorsena Gayle | Advanced Practice Midwife | 34709 9th Ave S, B-500, Federal Way, WA 98003-8722 | 2016-11-17 |
| 1215349071 | Jacqueline Joy Scott | Registered Nurse | 34709 9th Ave S, Suite B 500, Federal Way, WA 98003-8722 | 2014-05-28 |
| 1003252057 | Joseph N Sternard | Orthotist | 34709 9th Ave S, Suite A-100, Federal Way, WA 98003-8722 | 2013-05-17 |
| 1780955617 | Jason Warren Rovig | Orthotist | 34709 9th Ave S, Ste A-100, Federal Way, WA 98003-8722 | 2012-01-24 |
| 1538467329 | Matthew Gary Waddingham | Specialist | 34709 9th Ave S, Suite A-100, Federal Way, WA 98003-8722 | 2011-03-03 |
| 1275854119 | Denise Frances Carnegie | Obstetrics & Gynecology | 34709 9th Ave S, Suite B-500, Federal Way, WA 98003-8722 | 2010-06-15 |
| 1104057082 | Daniel W Samms | Prosthetist | 34709 9th Ave S, Ste A-100, Federal Way, WA 98003-8722 | 2009-07-27 |
| 1790936730 | Stuart Taylor | Dentist | 34709 9th Ave S, Suite B-300, Federal Way, WA 98003-8722 | 2008-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634969 | Jossie Jeniffer Wong-vicuna | Interpreter | 3001 S 288th Street, 201, Ferderal Way, WA 98003 | 2020-09-17 |
| 1336642420 | Otto Family | Massage Therapist | 720 S 348th St Ste A-1b, Federal Way, WA 98003 | 2018-03-14 |
| 1962912709 | Lindsay Plumley | Occupational Therapist | 33330 8th Avenue S, Federal Way, WA 98003 | 2017-10-06 |
| 1861922387 | Sea Mar Community Health Centers | Pharmacy | 31405 18th Ave South, Federal Way, WA 98003 | 2017-06-18 |
| 1023547072 | Iora Health Washington Physicians, P.C. | Internal Medicine | 1414 S. 324th Street, Federal Way, WA 98003 | 2017-06-05 |
| 1811346869 | Iora Senior Health Inc | Internal Medicine | 1414 S 324th St, Federal Way, WA 98003 | 2016-06-10 |
| 1972958940 | Kathy Marie Haviland | Registered Nurse | 1010 S. 336th St, Supplemental Health Care, Federal Way, WA 98003 | 2016-04-27 |
| 1972969343 | Jacklyn Marie James | Specialist | 530 South 336th Street, Ste C, Massage for Health and Day Spa, Inc., Federal Way, WA 98003 | 2016-01-14 |
| 1659767036 | Jillian Liner | Pediatrics | 34503 9th Ave S Ste 220, Federal Way, WA 98003 | 2015-04-12 |
| 1235537739 | Simranjit Singh Longia | Student in an Organized Health Care Education/Training Program | 34618 11th Ave. S., Suite 100, Federal Way, WA 98003 | 2014-12-15 |
| Find all providers in zip 98003 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093000101 | Amanda C Savery | Obstetrics & Gynecology | 34709 Ninth Ave South, Suite B500, Federal Way, WA 98003 | 2011-06-16 |
| 1538488507 | Michael B Smith Md | Obstetrics & Gynecology | 700 S 320th St Ste B, Federal Way, WA 98003-4691 | 2010-05-28 |
| 1609959857 | Michael S Davidov | Obstetrics & Gynecology | 34509 9th Avenue South, #207, Federal Way, WA 98003 | 2006-10-23 |
| 1073522322 | Myong J Roe | Obstetrics & Gynecology | 33507 9th Ave S Ste A, Federal Way, WA 98003-6397 | 2006-08-05 |
| 1760417885 | Anja Crider | Obstetrics & Gynecology | 900 S 336th St, Federal Way, WA 98003-6311 | 2006-07-11 |
| 1447252507 | Karen S Himebaugh | Obstetrics & Gynecology | 34709 9th Ave S Ste B500, Federal Way, WA 98003 | 2005-06-02 |
| 1598198442 | Kayli Lynn Senz | Obstetrics & Gynecology | 34709 9th Ave S Ste B500, Federal Way, WA 98003-6789 | 2013-08-14 |
| 1124462791 | Lindsay Ann Parker | Obstetrics & Gynecology | 34709 9th Ave S Ste B500, Federal Way, WA 98003 | 2013-04-24 |
| 1841552148 | Franciscan Medical Group | Obstetrics & Gynecology | 34503 9th Ave S, Ste 330, Federal Way, WA 98003-8727 | 2012-06-12 |
| 1275854119 | Denise Frances Carnegie | Obstetrics & Gynecology | 34709 9th Ave S, Suite B-500, Federal Way, WA 98003-8722 | 2010-06-15 |
| Find all providers in FEDERAL WAY | ||||
| City | FEDERAL WAY |
| Zip Code | 98003 |
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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.