Greater Modesto Medical Surgical Associates, Inc.
LBN: Greater Modesto Medical Surgical Associates, Inc.
Greater Modesto Medical Surgical Associates, Inc. is an health care organization with primary practice located at 205 W Granger Ave , Modesto CA 95350-4402. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as 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
205 W Granger Ave
Modesto CA 95350-4402
Phone: (209) 577-3388
Fax: (209) 523-0764
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X |
Profile Details
| NPI number | 1801181151 |
|---|---|
| LBN Legal business name | Greater Modesto Medical Surgical Associates, Inc. |
| DBA Doing business as | |
| Authorized official | Porteous, John R Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 15th, 2011 |
| Last updated | Jun 15th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801181151 | NPPES |
| California | Other | CD069A | MEDICARE GROUP PTAN |
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