GREATER MODESTO MEDICAL SURGICAL ASSOCIATES, INC.


Address: 205 W Granger Ave, Modesto, CA 95350-4402
Phone: 2095773388

GREATER MODESTO MEDICAL SURGICAL ASSOCIATES, INC. (NPI# 1801181151) 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) 1801181151
Entity Type Organization
Organization Name GREATER MODESTO MEDICAL SURGICAL ASSOCIATES, INC.
Practice Address 205 W Granger Ave
Modesto
CA 95350-4402
Mailing Address 1541 Florida Ave
Suite 200
Modesto
CA 95350-4423
Practice Telephone 2095773388
Practice Fax Number 2095230764
Mailing Telephone 2095773388
Mailing Fax Number 2095230764
Enumeration Date 2011-06-15
Last Update Date 2011-06-15
Authorized Official Name MR. JOHN R PORTEOUS (M.D.)
Authorized Official Telephone 2095773388
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207T00000X Neurological Surgery Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA MEDICARE GROUP PTAN CD069A 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1033489307 Greater Modesto Medical Surgical Associates, Inc. Family Medicine 3125 Conant Ave, Modesto, CA 95350-6527 2012-01-04
1134499411 Greater Modesto Medical Surgical Associates, Inc. Orthopaedic Surgery 1262 E North St, Suite B, Manteca, CA 95336-4962 2012-01-04
1548494974 Greater Modesto Medical Surgical Associates, Inc. Urology 200 Cottage Ave, Suite 101, Manteca, CA 95336-4935 2009-05-13
1407080823 Greater Modesto Medical Surgical Associates, Inc. Urology 1000 Delbon Ave, #2, Turlock, CA 95382-2008 2009-05-13

Office Location

Street Address 205 W GRANGER AVE
City MODESTO
State CA
Zip Code 95350-4402

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003999137 Lois Elaine Lewis Nurse Practitioner 205 W Granger Ave, Modesto, CA 95350 2006-10-23
1417436197 Leah Santianez Manangat Nurse Practitioner 205 W Granger Ave, Modesto, CA 95350-4402 2018-08-13
1568977627 Lisa Giang Nurse Practitioner 205 W Granger Ave, Modesto, CA 95350-4402 2017-12-11
1104183052 First Choice Physician Partners Neurological Surgery 205 W Granger Ave, Ste. D, Modesto, CA 95350-4402 2012-04-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164020459 Karina Montes Rodriguez Case Manager/Care Coordinator Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 2020-10-09
1134737315 Dr. Jeffrey A. Saladin, Dental Corporation Dentist 2057 Tully Road, Suite A, Modesto, CA 95350 2020-07-14
1588211254 Karla Junuen Toscano Licensed Vocational Nurse 1235 Mchenry Ave. Suites A&b, Modesto, CA 95350 2019-08-19
1831694769 Loretta Myers-weber Nurse Practitioner 1510 Florida Ave Ste A, Modesto, CA 95350 2018-03-23
1720599632 Coral Alejandra Amador Counselor 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 2017-10-18
1053820522 Pannu and Henne Dental Corp. Dentist 3219 Mc Henry Ave, Suite E, Modesto, CA 95350 2017-09-27
1346779709 Kevin Sotelo Behavior Technician 2630 W Rumble Road, Modesto, CA 95350 2017-06-08
1255869566 Hoa Xuan Phan Family Medicine 1441 Florida Ave Ste 200, Modesto, CA 95350 2017-05-31
1356881163 Brady S Marshall Dentist 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 2017-02-27
1750755476 Caremore Health Plan Nurse Practitioner 1234 Mchenry Avenue, Modesto, CA 95350 2015-11-18
Find all providers in zip 95350

Taxonomy Information

Taxonomy Code 207T00000X
Grouping Allopathic & Osteopathic Physicians
Classification Neurological Surgery

Taxonomy Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619317716 Gregory M Helbig Md Inc Neurological Surgery 4016 Dale Rd, Modesto, CA 95356-9268 2013-07-03
1104183052 First Choice Physician Partners Neurological Surgery 205 W Granger Ave, Ste. D, Modesto, CA 95350-4402 2012-04-17
1750517231 Amrith Jamoona Neurological Surgery 1401 Spanos Ct, Suite 130, Modesto, CA 95355-2810 2009-06-10
1679718753 Benjamin J Remington M D Inc Neurological Surgery 4016 Dale Rd, Modesto, CA 95356-9268 2008-12-03
1023253101 David B Bybee M D Inc Neurological Surgery 4016 Dale Rd, Modesto, CA 95356-9268 2008-12-03
1215189782 Doctors Medical Center of Modesto, Inc Neurological Surgery 1441 Florida Ave, Modesto, CA 95350-4405 2008-10-16
1811159254 John Kirk Capua Neurological Surgery 1401 Spanos Ct, Suite 130, Modesto, CA 95355-2810 2008-06-26
1639330301 Dilpreet Kaur Neurological Surgery 600 Coffee Rd, Modesto, CA 95355-4201 2008-06-24
1043398001 Dikran Bairamian Neurological Surgery 830 Scenic Dr, Modesto, CA 95350-6131 2006-11-01
1154406809 Ana Maria Devilliers Neurological Surgery 1541 Florida Ave, Suite 303, Modesto, CA 95350-4429 2006-10-25
Find all providers in MODESTO

Competitor

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City MODESTO
Zip Code 95350

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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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