Organization
FRANCISCAN MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID NOSACKA (CHIEF FINANCIAL OFFICER)
(253) 680-4005
Entity
Organization
Contact information
Practice address
1717 S J ST # MS 20-15, TACOMA, WA 98405-4933
(253) 779-6100
Mailing address
1149 MARKET ST, TACOMA, WA 98402-3515
(253) 779-6100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD00029260
WA
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
208M00000X
Hospitalist Physician
—
—
213ES0131X
Foot Surgery Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2021617
—
WA
Enumeration date
10/09/2006
Last updated
04/08/2026
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