MEDICARE: FRANCISCAN MEDICAL GROUP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0200X	Critical Care Medicine (Internal Medicine) Physician

General Provider Information

NPI Number	:	1154879427
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRANCISCAN MEDICAL GROUP

Provider Business Mailing Address
First Line	:	9537 GRAVELLY LAKE DR SW
Second Line	:
City	:	LAKEWOOD
State	:	WA
Zip	:	98499-1513
Country	:	US
Telephone Number	:	253-984-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	9537 GRAVELLY LAKE DR SW
Second Line	:
City	:	LAKEWOOD
State	:	WA
Zip	:	98499-1513
Country	:	US
Telephone Number	:	253-984-2000
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	MIKE FITZGERALD
Credential	:
Telephone Number	:	253-680-4005

Provider Enumeration Date	:	09/15/2016
Last Update Date	:	09/15/2016

Similar Medicare Providers

1821948209 — KALOB JEWETT
Practice Location Address:

9521 GRAVELLY LAKE DR SW
LAKEWOOD, WA
98499-1513

Practice Phone: 253-983-9395
Practice Fax:

1518818384 — TYLER MURPHY
Practice Location Address:

9521 GRAVELLY LAKE DR SW
LAKEWOOD, WA
98499-1513

Practice Phone: 253-983-9411
Practice Fax:

1164373981 — WILLIAM PEISER
Practice Location Address:

9521 GRAVELLY LAKE DR SW
LAKEWOOD, WA
98499-1513

Practice Phone: 253-983-9395
Practice Fax:

1639518327 — JESSY EDGARDO ANG JR. M.D.
Practice Location Address:

9537 GRAVELLY LAKE DR SW
LAKEWOOD, WA
98499-1513

Practice Phone: 253-984-2000
Practice Fax: 253-984-2049

1235579038 — MINH-TRIET DINH VO D.O.
Practice Location Address:

9537 GRAVELLY LAKE DR SW
LAKEWOOD, WA
98499-1513

Practice Phone: 253-984-2000
Practice Fax: 253-984-2049

1104201623 — JENNIFER L WORSLEY ARNP FNP-C
Practice Location Address:

9537 GRAVELLY LAKE DR SW STE E10
LAKEWOOD, WA
98499-1513

Practice Phone: 253-984-2000
Practice Fax: 253-426-6344

Directions to “FRANCISCAN MEDICAL GROUP ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.