Mchenry Medical Group Inc in Modesto - Surgery
Mchenry Medical Group Inc - NPI 1205859154
Mchenry Medical Group Inc is a Surgery in Modesto, California. Mchenry Medical Group Inc practices all healthcare services and medical treatments related to Surgery. The NPI Number for Mchenry Medical Group Inc is 1205859154. The last update date is 2008-01-18.
Mchenry Medical Group Inc's current location address is 1541 Florida Avenue, Modesto, California. You can contact this provider via phone number 2095773388 and fax number 2093423743. The mailing address for Mchenry Medical Group Inc is 1541 Florida Avenue, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mchenry Medical Group Inc |
|---|---|
| Address | 1541 Florida Avenue, Modesto, California |
| Phone Number | 2095773388 |
| Fax Number | 2093423743 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHAIR EXEC |
|---|---|
| Authorized Official Name | Goodman Michael Harris |
| Credentials | MD |
| Telephone Number | 2095773388 |
NPI Number Detail
| NPI Number | 1205859154 |
|---|---|
| Provider Enumeration Date | 2006-07-25 |
| Last Updated Date | 2008-01-18 |
Provider Mailing Address Detail
| Address | 1541 Florida Avenue |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 95350 |
| Phone Number | 2095773388 |
| Fax Number | 2093423743 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
|
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; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZZZ48224Z | CA | MEDICARE # |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mchenry Medical Group Inc by the Centers for Medicare & Medicaid Services?
The Mchenry Medical Group Inc has been issued the NPI (National Provider Identifier) 1205859154 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Mchenry Medical Group Inc located?
The Mchenry Medical Group Inc is located at 1541 Florida Avenue, Modesto, CA 95350.
What is the area of specialization for Mchenry Medical Group Inc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mchenry Medical Group Inc is Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 208600000X.
On what date did the Mchenry Medical Group Inc receive its 1205859154 assignment from the Centers for Medicare & Medicaid Services?
The Mchenry Medical Group Inc was assigned its 1205859154 by the Centers for Medicare & Medicaid Services on 2006-07-25.
As of what date were the details related to Mchenry Medical Group Inc most recently updated or revised?
The information pertaining to Mchenry Medical Group Inc, including its address, specialty, and other relevant details, was last updated or revised on 2008-01-18.