John Porteous is a Vascular Surgery in Modesto, California. John Porteous practices all healthcare services and medical treatments related to Vascular 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 |
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Address | 1541 Florida Ave, Modesto, California |
Phone Number | 2095773388 |
Fax Number | 2095230764 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1669460630 |
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Provider Enumeration Date | 2005-10-12 |
Last Updated Date | 2011-03-29 |
Provider Mailing Address Detail
Address | 1541 Florida Ave |
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City | Modesto |
State | California (CA) |
Post Code | 953504429 |
Phone Number | 2095773388 |
Fax Number | 2095230764 |
Provider's Primary Taxonomy Detail
Speciality | Vascular Surgery |
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Taxonomy | 2086S0129X |
Licence No | C2981 |
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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 # |
Post Comment/ Review Below
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 Vascular Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 2086S0129X.
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.