Mchenry Medical Group, Inc. in Modesto - Pediatric Urology
Mchenry Medical Group, Inc. - NPI 1912183153
Mchenry Medical Group, Inc. is a Pediatric Urology in Modesto, California. Mchenry Medical Group, Inc. practices all healthcare services and medical treatments related to Pediatric Urology. The NPI Number for Mchenry Medical Group, Inc. is 1912183153. The last update date is 2008-01-17.
Mchenry Medical Group, Inc.'s current location address is 1541 Florida Ave, 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 Ave, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mchenry Medical Group, Inc. |
|---|---|
| Address | 1541 Florida Ave, Modesto, California |
| Phone Number | 2095773388 |
| Fax Number | 2093423743 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHAIR |
|---|---|
| Authorized Official Name | Goodman Michael Harris |
| Credentials | M.D. |
| Telephone Number | 2095773388 |
NPI Number Detail
| NPI Number | 1912183153 |
|---|---|
| Provider Enumeration Date | 2008-01-17 |
| Last Updated Date | 2008-01-17 |
Provider Mailing Address Detail
| Address | 1541 Florida Ave |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953504429 |
| Phone Number | 2095773388 |
| Fax Number | 2093423743 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Urology |
|---|---|
| Taxonomy | 2088P0231X |
|
Definition: Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally |
|
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 identification 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) 1912183153, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mchenry Medical Group, Inc.?
The Mchenry Medical Group, Inc. is situated at 1541 Florida Ave, in the city of Modesto, state of CA, with the zip code 953504429.
What is Mchenry Medical Group, Inc.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mchenry Medical Group, Inc. is Pediatric Urology, and the corresponding taxonomy classification code for this specialized field is 2088P0231X.
On what date did the Centers for Medicare & Medicaid Services assign the 1912183153 to Mchenry Medical Group, Inc.?
The Centers for Medicare & Medicaid Services assigned the 1912183153 to Mchenry Medical Group, Inc. on 2008-01-17.
When was the Mchenry Medical Group, Inc.'s information last updated?
The Mchenry Medical Group, Inc.'s information was last updated on 2008-01-17.
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