Alex E Mari (NPI# 1609976562, PAC ID# 0547330433) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1609976562 |
| PAC ID by PECOS | 0547330433 |
| Professional Enrollment ID | I20080604000354 |
| Full Name | Alex E Mari |
| Organization Legal Name | ORANGEBURG MEDICAL GROUP |
| Address |
1448 Florida Ave Modesto CA 95350-4424 |
| Phone Number | 2095231884 |
| Gender | M |
| Medical School | UNIVERSITY OF SOUTHERN CALIFORNIA SCHOOL OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5395815286 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050726 | STANISLAUS SURGICAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1448 Florida Ave, Modesto, CA 95350-4424 | 2095231884 | ORANGEBURG MEDICAL GROUP |
| Organization Legal Name | ORANGEBURG MEDICAL GROUP |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Russell T Porter | Family Medicine | Orangeburg Medical Group | 1448 Florida Ave, Modesto, CA 95350-4424 |
| Manmeet S Shergill | Family Medicine | Orangeburg Medical Group | 1448 Florida Ave, Modesto, CA 95350-4424 |
| Miguel A Hernandez | Family Medicine | Orangeburg Medical Group | 1448 Florida Ave, Modesto, CA 95350-4424 |
| Jose L Banuelos Jr. | Family Medicine | Orangeburg Medical Group | 1448 Florida Ave, Modesto, CA 95350-4424 |
| Christina Chan | Family Medicine | Orangeburg Medical Group | 1448 Florida Ave, Modesto, CA 95350-4424 |
| Mattice F Harris Jr. | Family Practice | Orangeburg Medical Group | 1448 Florida Ave, Modesto, CA 95350-4424 |
| Lewis R Cimino | General Surgery | Orangeburg Medical Group | 1448 Florida Ave, Modesto, CA 95350-4424 |
| Street Address |
1448 FLORIDA AVE |
| City | MODESTO |
| State | CA |
| Zip | 95350-4424 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Russell T Porter | Family Medicine | Orangeburg Medical Group | 1448 Florida Ave, Modesto, CA 95350-4424 |
| Manmeet S Shergill | Family Medicine | Orangeburg Medical Group | 1448 Florida Ave, Modesto, CA 95350-4424 |
| Miguel A Hernandez | Family Medicine | Orangeburg Medical Group | 1448 Florida Ave, Modesto, CA 95350-4424 |
| Jose L Banuelos Jr. | Family Medicine | Orangeburg Medical Group | 1448 Florida Ave, Modesto, CA 95350-4424 |
| Christina Chan | Family Medicine | Orangeburg Medical Group | 1448 Florida Ave, Modesto, CA 95350-4424 |
| Mattice F Harris Jr. | Family Practice | Orangeburg Medical Group | 1448 Florida Ave, Modesto, CA 95350-4424 |
| Lewis R Cimino | General Surgery | Orangeburg Medical Group | 1448 Florida Ave, Modesto, CA 95350-4424 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ladan P Hashemi | Nurse Practitioner | Galen Medical Group, Inc. | 2633 W Rumble Rd, Modesto, CA 95350-0154 |
| Ashley Marruffo | Nurse Practitioner | Galen Medical Group, Inc. | 2633 W Rumble Rd, Modesto, CA 95350-0154 |
| Jessica F Hoffman | Nurse Practitioner | Galen Medical Group, Inc. | 2633 W Rumble Rd, Modesto, CA 95350-0154 |
| Lynne M Butner | Chiropractic | 1500 Standiford Ave B, Modesto, CA 95350-0592 | |
| Ronald J Mostowski | Chiropractic | 1500 Standiford Ave B, Modesto, CA 95350-0592 | |
| David A Heersink | Chiropractic | 1367 Standiford Ave, Modesto, CA 95350-0700 | |
| Mariza M Del Rosario-garcia | Psychiatry | Permanente Medical Group Inc | 1320 Standiford Ave, Suite 5, Modesto, CA 95350-0726 |
| Rean Hong | Clinical Psychologist | Permanente Medical Group Inc | 1320 Standiford Ave, Suite 5, Modesto, CA 95350-0726 |
| Michael Taylor | Chiropractic | 1421 Standiford Ave, B, Modesto, CA 95350-0730 | |
| Jeanne Abbott | Clinical Social Worker | 3300 Tully Rd, Suite C1, Modesto, CA 95350-0849 | |
| Find all physicians in zip 95350 | |||
| City | MODESTO |
| Zip Code | 95350 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MODESTO + FAMILY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.