Mchenry Medical Group

LBN: Greater Modesto Medical Surgical Associates, Inc.
Mchenry Medical Group is an health care organization with primary practice located at 200 Cottage Ave Suite 101, Manteca CA 95336-4935. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Pediatric Urology. Allopathic & Osteopathic Physicians / Urology is the primary health care specialty. Greater Modesto Medical Surgical Associates, Inc. can be contacted via phone (209) 577-3388, or through Porteous, John R via phone (209) 577-3388.

Contact Information

Primary practice address
200 Cottage Ave Suite 101 Manteca CA 95336-4935
Phone: (209) 577-3388
Fax: (209) 342-3743
Website:
Map and Directions
Authorized official contact:
Name: Porteous, John R Doctor of Medicine (MD)
Phone: (209) 577-3388

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X

Profile Details

NPI number 1548494974
LBN Legal business name Greater Modesto Medical Surgical Associates, Inc.
DBA Doing business as Mchenry Medical Group
Authorized official Porteous, John R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 13th, 2009
Last updated Oct 5th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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