CHARLES SLOCUMB M.D. (NPI# 1770517229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770517229 |
| Entity Type | Organization |
| Organization Name | CHARLES SLOCUMB M.D. |
| Practice Address |
2209 Coffee Rd Ste M Modesto CA 95355 |
| Mailing Address |
120 W. Granger Avenue Modesto CA 95350 |
| Practice Telephone | 2095268038 |
| Mailing Telephone | 2095263832 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2008-06-26 |
| Authorized Official Name | CHARLES SLOCUMB (OB-GYNECOLOGY) |
| Authorized Official Telephone | 2095263832 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | C30130 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2209 COFFEE RD STE M |
| City | MODESTO |
| State | CA |
| Zip Code | 95355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205860657 | Christopher O'reilly-green M.d. | Obstetrics & Gynecology | 2209 Coffee Rd Ste M, Modesto, CA 95355 | 2006-07-10 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124418835 | Casey Elizabeth Richardson | Obstetrics & Gynecology | 1552 Coffee Rd Fl 1, Modesto, CA 95355-3122 | 2015-02-02 |
| 1194922351 | Darshana Kittur | Obstetrics & Gynecology | Kaiser Foundation Hospital- Modesto, 4601 Dale Road 3rd Floor, Modesto, CA 95356-2804 | 2007-06-29 |
| 1801838917 | David S Henry | Obstetrics & Gynecology | 1444 Coffee Road, Modesto, CA 95355 | 2006-06-12 |
| 1427008028 | Esther June Tow-der | Obstetrics & Gynecology | 1552 Coffee Rd, Modesto, CA 95355-3107 | 2006-05-12 |
| 1174506315 | Lisa Wynette Murphy | Obstetrics & Gynecology | 200 W Coolidge Ave, Modesto, CA 95350-4447 | 2005-11-22 |
| 1336134303 | Lloyd James Lee Sr. | Obstetrics & Gynecology | 1500 Florida Ave, Modesto, CA 95350 | 2005-09-15 |
| 1679923387 | Carson Rodeffer | Obstetrics & Gynecology | 1552 Coffee Rd Fl 1, Modesto, CA 95355-3122 | 2016-06-14 |
| 1528414133 | Nicholas Holt Hopkins | Obstetrics & Gynecology | 1552 Coffee Rd, Modesto, CA 95355-3122 | 2016-05-12 |
| 1548680747 | Andrea Moreno | Obstetrics & Gynecology | 4601 Dale Rd, Modesto, CA 95356 | 2014-04-27 |
| 1891135844 | Kathy P Tom | Obstetrics & Gynecology | 4601 Dale Rd, Modesto, CA 95356-9718 | 2013-07-04 |
| 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.