GARY MICHAEL DOLAN (NPI# 1437155629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437155629 |
| Entity Type | Individual |
| Full Name | GARY MICHAEL DOLAN |
| Credential | M.D. |
| Practice Address |
2625 Coffee Rd Ste S Modesto CA 95355-2050 |
| Practice Telephone | 2095771200 |
| Practice Fax Number | 2095776517 |
| Mailing Telephone | 2095771200 |
| Mailing Fax Number | 2095776517 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207ZC0500X |
Pathology Specialization: Cytopathology |
C31596 | CA | Allopathic & Osteopathic Physicians |
| X | 207ZI0100X |
Pathology Specialization: Immunopathology |
C31596 | CA | Allopathic & Osteopathic Physicians |
| X | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
C31596 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LICENSE | C31596 | 01 |
| Street Address |
2625 COFFEE RD STE S |
| City | MODESTO |
| State | CA |
| Zip Code | 95355-2050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598760985 | Yosemite Pathology Medical Group, Inc | Pathology | 2625 Coffee Rd, Ste S, Modesto, CA 95355-2050 | 2005-06-14 |
| 1245699396 | Eva Glover | Spec/Tech, Pathology | 2625 Coffee Rd, Suite S, Modesto, CA 95355-2050 | 2016-02-17 |
| 1508249764 | Ermias Gebregziabher | Spec/Tech, Pathology | 2625 Coffee Rd, Suite S, Modesto, CA 95355-2050 | 2015-07-07 |
| 1942694047 | John Mbeo | Spec/Tech, Pathology | 2625 Coffee Rd, Suite S, Modesto, CA 95355-2050 | 2015-03-26 |
| 1386050177 | Amanda Sorrell | Spec/Tech, Pathology | 2625 Coffee Rd, Suite S, Modesto, CA 95355-2050 | 2014-07-01 |
| 1669743159 | Ashley N Schulke | Spec/Tech, Pathology | 2625 Coffee Rd, Suite S, Modesto, CA 95355-2050 | 2012-01-16 |
| 1730473794 | John List | Spec/Tech, Pathology | 2625 Coffee Rd, Suite S, Modesto, CA 95355-2050 | 2011-06-07 |
| 1245520600 | Weisheng Xu | Pathology | 2625 Coffee Rd, Modesto, CA 95355-2050 | 2011-04-19 |
| 1427375625 | Kali Freeman | Specialist | 2625 Coffee Rd, Suite S, Modesto, CA 95355-2050 | 2010-04-27 |
| 1346571593 | Quoc Pham | Spec/Tech, Pathology | 2625 Coffee Rd, Suite S, Modesto, CA 95355-2050 | 2010-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211793 | I To I LLC | Optometrist | 3401 Oakdale Rd, Ste 525, Modesto, CA 95355 | 2020-09-25 |
| 1205443116 | Altwal and Shelat Dds Inc | Dentist | 1317 Oakdale Road, Suite 310, Modesto, CA 95355 | 2020-09-24 |
| 1184255911 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 3401 Oakdale Road, Suite 505, Modesto, CA 95355 | 2020-01-30 |
| 1487133856 | Natalie Vargas | Behavior Technician | 1317 Oakdale Road Suite 610, Modesto, CA 95355 | 2018-08-07 |
| 1871079152 | Jill H Fusia | Dietitian, Registered | 1404 Cordero Court, Modesto, CA 95355 | 2018-07-19 |
| 1043727514 | Emily Lauren Schaefer | Behavioral Analyst | 3425 Coffee Rd Ste C2, Modesto, CA 95355 | 2018-01-05 |
| 1376083691 | Hari Gnanasekeram, PC | Technician, Cardiology | 1303 Mable Avenu, Modesto, CA 95355 | 2017-03-06 |
| 1598139891 | Encompass Health Rehabilitation Hospital of Modesto, LLC | Rehabilitation Hospital | 1303 Mable Avenue, Modesto, CA 95355 | 2015-11-24 |
| 1013387844 | Diana Faith Kigenyi | Social Worker | 1225 Oakdale Road, Modesto, CA 95355 | 2015-10-06 |
| 1437530672 | Tzu Yi Wei | Acupuncturist | 2209 Coffee Road, Suite A, Modesto, CA 95355 | 2015-06-12 |
| Find all providers in zip 95355 | ||||
| Taxonomy Code | 207ZC0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Cytopathology |
| A cytopathologist is an anatomic pathologist trained in the diagnosis of human disease by means of the study of cells obtained from body secretions and fluids, by scraping, washing, or sponging the surface of a lesion, or by the aspiration of a tumor mass or body organ with a fine needle. A major aspect of a cytopathologist’s practice is the interpretation of Papanicolaou-stained smears of cells from the female reproductive systems, the "Pap" test. However, the cytopathologist’s expertise is applied to the diagnosis of cells from all systems and areas of the body. He/she is a consultant to all medical specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source added] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629074810 | Harvey Chung-der Chang | Pathology | 4301 N Star Way, Modesto, CA 95356-9262 | 2005-06-22 |
| 1598760985 | Yosemite Pathology Medical Group, Inc | Pathology | 2625 Coffee Rd, Ste S, Modesto, CA 95355-2050 | 2005-06-14 |
| 1912140302 | Michelle Lynae Iverson | Pathology | 4301 Northstar Way, Modesto, CA 95356-1365 | 2009-04-14 |
| 1134391345 | Curtis Roy Strong | Pathology | 4301 N Star Way, Modesto, CA 95356-9262 | 2008-03-27 |
| 1780887257 | Sepideh Maftoun-banankhah | Pathology | 4301 N Star Way, Modesto, CA 95356-9262 | 2007-06-11 |
| 1659593606 | Anthony Rex Victorio | Pathology | 4301 Northstar Way, Modesto, CA 95356-9262 | 2007-05-02 |
| 1982663837 | Steven P Fogel | Pathology | 4301 Northstar Way, Modesto, CA 95356-9262 | 2006-03-20 |
| 1952307068 | Michael Edward Fitzpatrick | Pathology | 2625 Coffee Rd, Ste S, Modesto, CA 95355-2050 | 2005-06-23 |
| 1942206123 | Rick Ralph Baier | Pathology | 2625 Coffee Rd, Ste S, Modesto, CA 95355-2050 | 2005-06-22 |
| 1669478848 | Avtarinder Kaur Nijjar | Pathology | 2625 Coffee Rd, Ste S, Modesto, CA 95355-2050 | 2005-06-22 |
| Find all providers in MODESTO | ||||
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| 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.