John Porteous in Modesto - Surgery

John Porteous - NPI 1669460630

John Porteous is a Surgery in Modesto, California. John Porteous practices all healthcare services and medical treatments related to Surgery. The NPI Number for John Porteous is 1669460630. The last update date is 2011-03-29.

John Porteous's current location address is 1541 Florida Ave, Modesto, California. You can contact this provider via phone number 2095773388 and fax number 2095230764. The mailing address for John Porteous is 1541 Florida Ave, Modesto, California. To know further, please read the information below!

Provider Profile Detail

Provider Name John Porteous
Address 1541 Florida Ave, Modesto, California
Phone Number 2095773388
Fax Number 2095230764
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1669460630
Provider Enumeration Date 2005-10-12
Last Updated Date 2011-03-29

Provider Mailing Address Detail

Address 1541 Florida Ave
City Modesto
State California (CA)
Post Code 953504429
Phone Number 2095773388
Fax Number 2095230764

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No C2981
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
CD069A CA MEDICARE GROUP PTAN
20013716 CA RAILROAD MEDICARE
CF369Z CA MEDICARE INDIVIDUAL PTAN
ZZZ48224Z CA MEDICARE IDENTIFICATION #

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FAQs about John Porteous

What is the unique identifier code issued to John Porteous by the Centers for Medicare & Medicaid Services (CMS)?

The John Porteous has been assigned the NPI (National Provider Identifier) 1669460630. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of John Porteous?

The John Porteous is situated at 1541 Florida Ave, in the city of Modesto, state of CA, with the zip code 953504429.

What is the area of specialization for John Porteous, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for John Porteous is Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 208600000X.

On what date was the 1669460630 assigned to John Porteous?

The John Porteous was issued its 1669460630 on 2005-10-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to John Porteous most recently updated or refreshed?

The details pertaining to the John Porteous, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-03-29.

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