MADELAINE MICHELE HADDICAN (NPI# 1891062857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891062857 |
| Entity Type | Individual |
| Full Name | MADELAINE MICHELE HADDICAN |
| Practice Address |
600 Coffee Rd Modesto CA 95355-4201 |
| Practice Telephone | 2095216097 |
| Mailing Telephone | 2095216097 |
| Enumeration Date | 2011-11-18 |
| Last Update Date | 2017-01-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | A146815 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
600 COFFEE RD |
| City | MODESTO |
| State | CA |
| Zip Code | 95355-4201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073517751 | Kishore K. Kalluri | Internal Medicine | 600 Coffee Rd, Modesto, CA 95355-4201 | 2005-06-09 |
| 1508405622 | Erica Corral-ruiz | Registered Nurse | 600 Coffee Rd, Modesto, CA 95355-4201 | 2020-01-06 |
| 1598324519 | Cierra Coffman | Physician Assistant | 600 Coffee Rd, Modesto, CA 95355-4201 | 2019-06-12 |
| 1053879932 | Anitha Choorakulam George | Nurse Practitioner | 600 Coffee Rd, Modesto, CA 95355-4201 | 2019-03-09 |
| 1154852994 | Simran Kaur Bains | Internal Medicine | 600 Coffee Rd, Modesto, CA 95355-4201 | 2017-03-23 |
| 1891246153 | Pacific Infectious Diseases, Inc. | Internal Medicine | 600 Coffee Rd, Modesto, CA 95355-4201 | 2016-10-20 |
| 1497108062 | Palvasha Shah | Internal Medicine | 600 Coffee Rd, Modesto, CA 95355 | 2016-07-19 |
| 1861845430 | Bharati Meesala | Hospitalist | 600 Coffee Rd, Modesto, CA 95355-4201 | 2016-07-19 |
| 1376999672 | David William Lowry | Internal Medicine | 600 Coffee Rd, Modesto, CA 95355-4201 | 2016-05-05 |
| 1245692250 | Swathi S.b. Kari | Hospitalist | 600 Coffee Rd, Modesto, CA 95355-4201 | 2016-03-28 |
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| 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 |
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| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093079485 | Modesto Dermatology and Skin Cancer PC | Dermatology | 3105 Mchenry Ave, Modesto, CA 95350-1439 | 2012-06-29 |
| 1578641387 | Stefan C. Weiss | Dermatology | 2001 Mchenry Ave Ste C, Modesto, CA 95350 | 2006-11-01 |
| 1205859154 | Mchenry Medical Group Inc | Dermatology | 1541 Florida Avenue, Suite 200, Modesto, CA 95350 | 2006-07-25 |
| 1770570814 | Thomas Lathrop Hall | Dermatology | 4125 Bangs Ave, Modesto, CA 95356-8713 | 2005-10-04 |
| 1760616270 | Greater Modesto Medical Surgical Associates Inc. | Dermatology | 1541 Florida Ave, Suite 200, Modesto, CA 95350-4429 | 2009-05-12 |
| 1063530749 | Shirley L Van | Dermatology | 1429 College Ave, Suite B, Modesto, CA 95350-4046 | 2007-03-27 |
| 1619078961 | Daniel J. Trozak, M.d., A.p.c. | Dermatology | 1444 Florida Ave, Suite 201, Modesto, CA 95350-4400 | 2006-09-26 |
| 1033132170 | Blake Daniel Alexander | Dermatology | 1101 Standiford Ave, Suite A-3, Modesto, CA 95350-0982 | 2006-07-26 |
| 1235160102 | Gary Wagner | Dermatology | 600 Coffee Rd, Modesto, CA 95355-4201 | 2006-07-06 |
| 1528026358 | Michael K Zang | Dermatology | 600 Coffee Rd, Modesto, CA 95355-4201 | 2006-05-02 |
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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.