MR. THOMAS SCOTT MCKIERNAN JR. (NPI# 1992080550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992080550 |
| Entity Type | Individual |
| Full Name | MR. THOMAS SCOTT MCKIERNAN JR. |
| Practice Address |
611 Scenic Dr Modesto CA 95350-6156 |
| Practice Telephone | 2095771014 |
| Practice Fax Number | 2095778046 |
| Mailing Telephone | 2095771014 |
| Mailing Fax Number | 2095778046 |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2015-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 237700000X | Hearing Instrument Specialist | HAD0000247 | CO | Speech, Language and Hearing Service Providers |
| Y | 237700000X | Hearing Instrument Specialist | HA6031 | CA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417015959 | Thomas L Mckiernan | Internal Medicine | 2160 S 1st Ave, (300 N. York Rd., Elmhurst, Il. 60126), Maywood, IL 60153-3328 | 2006-12-05 |
| Street Address |
611 SCENIC DR |
| City | MODESTO |
| State | CA |
| Zip Code | 95350-6156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437361540 | Larry Daffron | Hearing Instrument Specialist | 611 Scenic Dr, Suite A, Modesto, CA 95350-6127 | 2007-05-03 |
| 1912140815 | Modesto Hearing Aid Center | Hearing Aid Equipment | 611 Scenic Dr, Modesto, CA 95350-6156 | 2009-04-08 |
| 1225287543 | Terasa Lee Daffron | Hearing Instrument Specialist | 611 Scenic Dr, Modesto, CA 95350-6156 | 2008-09-10 |
| 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 | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710231295 | Monica Martin | Hearing Instrument Specialist | 1729 Tully Rd Ste 1, Modesto, CA 95350-4081 | 2012-11-05 |
| 1932486636 | Ryan J. Holden | Hearing Instrument Specialist | 200 W Roseburg Ave Ste B2, Modesto, CA 95350-5200 | 2011-11-08 |
| 1417161928 | Earworx, Inc. | Hearing Instrument Specialist | 2120d College Ave, Modesto, CA 95350-3044 | 2007-05-10 |
| 1437361540 | Larry Daffron | Hearing Instrument Specialist | 611 Scenic Dr, Suite A, Modesto, CA 95350-6127 | 2007-05-03 |
| 1134261050 | Larry Cooper King | Hearing Instrument Specialist | 3520 Oakdale Rd. Ste. B, Modesto, CA 95357-0714 | 2007-02-14 |
| 1841339249 | Denn B. Wesson | Hearing Instrument Specialist | 1307 I St, Modesto, CA 95354-0913 | 2007-02-05 |
| 1760015226 | Wesleigh J Stoltz | Hearing Instrument Specialist | 200 W Roseburg Ave Ste B2, Modesto, CA 95350-5200 | 2020-02-12 |
| 1932692142 | Gerald Edward Vietor | Hearing Instrument Specialist | 1150 W Orangeburg Ave, Modesto, CA 95350-4042 | 2018-06-12 |
| 1386151769 | Golden State Hearing Aid Center Inc. | Hearing Instrument Specialist | 200 W Roseburg Ave Ste B2, Modesto, CA 95350-5200 | 2018-01-06 |
| 1609391333 | Veronica Andrea Alcala | Hearing Instrument Specialist | 200 W Roseburg Ave Ste B2, Modesto, CA 95350-5200 | 2017-08-03 |
| 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.