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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | MEDICARE GROUP PTAN | CD069A | 01 |
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 |
Street Address |
205 W GRANGER AVE |
City | MODESTO |
State | CA |
Zip Code | 95350-4402 |
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 |
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 Code | 207T00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Neurological Surgery |
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. |
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 |
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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.