MR. MICHAEL D HEVOR


Address: 200 Cottage Ave, Ste 200, Manteca, CA 95336
Phone: 2098323332

MR. MICHAEL D HEVOR (NPI# 1306802004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306802004
Entity Type Individual
Full Name MR. MICHAEL D HEVOR
Credential MD
Practice Address 200 Cottage Ave
Ste 200
Manteca
CA 95336
Mailing Address Po Box 539
Denair
CA 95316
Practice Telephone 2098323332
Practice Fax Number 2096322258
Mailing Telephone 2096322256
Mailing Fax Number 2096322258
Enumeration Date 2006-04-22
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
A48540 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00A485400 05

Office Location

Street Address 200 COTTAGE AVE
STE 200
City MANTECA
State CA
Zip Code 95336

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225031693 Michael Steven Davis Internal Medicine 200 Cottage Ave, Ste 203, Manteca, CA 95336-4935 2005-05-31
1548494974 Greater Modesto Medical Surgical Associates, Inc. Urology 200 Cottage Ave, Suite 101, Manteca, CA 95336-4935 2009-05-13
1912183153 Mchenry Medical Group, Inc. Urology 200 Cottage Ave, Sute 101, Manteca, CA 95336-4935 2008-01-17
1841471166 Russell P Carter Jr Md Inc Internal Medicine 200 Cottage Ave, Suite 201, Manteca, CA 95336-4935 2007-11-15
1477675387 Central Valley Eye Medical Group Inc. Eyewear Supplier (Equipment, not the service) 200 Cottage Ave, Ste 102, Manteca, CA 95336-4935 2007-04-04
1700942190 Sleepmed of California Durable Medical Equipment & Medical Supplies 200 Cottage Ave, Ste 201, Manteca, CA 95336-4935 2006-12-29
1760594089 Carmelita Casison Nisperos Pediatrics 200 Cottage Ave, Suite 202, Manteca, CA 95336-4935 2006-08-31
1831206432 Prabhjit S. Purewal, Md, Inc. Non-Pharmacy Dispensing Site 200 Cottage Ave, Ste 201, Manteca, CA 95336-4935 2006-08-23
1760494066 Holly Noel Reece Physician Assistant 200 Cottage Ave, Ste 103, Manteca, CA 95336-4935 2006-08-13
1225073588 Valley Associated Urology Medicare Group Inc Urology 200 Cottage Ave, Ste 101, Manteca, CA 95336-4935 2006-06-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225687676 Kasside Sahagun-escalante Behavior Technician 402 Victory Ave, Manteca, CA 95336 2019-09-09
1295253797 Adriana Pena Counselor 129 E.center Street Ste.3, Manteca, CA 95336 2017-09-05
1104352277 Native Directions Inc. Substance Abuse Rehabilitation Facility 13505 Union Rd, Manteca, CA 95336 2017-05-10
1437508389 Anna Gavin Contractor 1256 W. Lathrop Rd #376, Manteca, CA 95336 2016-06-10
1164826137 Michael M. Catz, M.d., Inc Anesthesiology 1205 E. North Street, Manteca, CA 95336 2014-10-20
1033518923 Leanne Louis Community Health Worker 129 E Center Street, #3, Manteca, CA 95336 2014-08-18
1255684122 Kenneth S. Ching, Md., Inc Anesthesiology 1205 East North Street, Manteca, CA 95336 2012-10-17
1629323043 Harpradeep Ratia Dentist 1332 E Yosemite Ave, Manteca, CA 95336 2012-07-23
1750643664 Shelley Marie Kohl Specialist/Technologist, Other 425 E. Center St Suite 1, Manteca, CA 95336 2012-06-15
1932488038 Valerie Diane Segura Behavioral Analyst 1882 Cherrywood Pl, Manteca, CA 95336 2011-08-08
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Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972677581 Feng Hua Psychiatry & Neurology 1721 W Yosemite Ave, Manteca, CA 95337-5130 2006-11-17
1295813004 Kevin S. O'dell Psychiatry & Neurology 1721 W Yosemite Ave, Manteca, CA 95337-5130 2006-11-01
1033297932 Sun D. Hansrote Psychiatry & Neurology 1721 W Yosemite Ave, Manteca, CA 95337-5130 2006-11-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1497352876 Riverside Optimal Healthcare, Inc Psychiatry & Neurology 13320 Riverside Dr Ste 204, Sherman Oaks, CA 91423-2512 2020-10-08
1710592431 Muhammad Amin Psychiatry & Neurology 33433 Pony Loop, Fremont, CA 94555-3511 2020-09-10
1558973792 Catalyst Neuromedical Center PC Psychiatry & Neurology 3305 Placer St Ste B, Redding, CA 96001-2378 2020-08-19
1134730906 West Coast Valley Medical Inc Psychiatry & Neurology 3357 Cahuenga Blvd W # 18, Los Angeles, CA 90068-1327 2020-08-13
1720603582 Lily Wenya Zhou Psychiatry & Neurology 780 Welch Road, Suite 350, Stanford Stroke Center, Palo Alto, CA 94304 2020-06-08
1760015689 Simon James Little Psychiatry & Neurology 1634 Divisadero St, Suite 250, San Francisco, CA 94115 2020-02-19
1427689256 Alejandro F Centurion Md Inc Psychiatry & Neurology 100 Clock Tower Pl Ste 225, Carmel, CA 93923-8778 2020-01-30
1659901254 Kern County Neurological Medical Group, Inc Psychiatry & Neurology 18645 Gale Ave Ste 228b, City of Industry, CA 91748-1363 2020-01-22
1609415314 Aspire Holdings, Inc Psychiatry & Neurology 28212 Kelly Johnson Pkwy Ste 215, Valencia, CA 91355-5090 2019-12-27
1336785187 Tp-health Ca PC Psychiatry & Neurology 201 E Center St Ste 112, Anaheim, CA 92805-7212 2019-11-26
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Competitor

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City MANTECA
Zip Code 95336

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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