Merced Orthopaedic Medical Group, Inc

LBN: Merced Orthopaedic Medical Group, Inc
Merced Orthopaedic Medical Group, Inc is an health care organization with primary practice located at 123 W North Bear Creek Dr , Merced CA 95348-3420. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. Merced Orthopaedic Medical Group, Inc can be contacted via phone (209) 722-8161, or through Tacke, Samuel B via phone (209) 722-8161.

Contact Information

Primary practice address
123 W North Bear Creek Dr Merced CA 95348-3420
Phone: (209) 722-8161
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tacke, Samuel B Doctor of Medicine (MD)
Phone: (209) 722-8161

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X California

Profile Details

NPI number 1326046012
LBN Legal business name Merced Orthopaedic Medical Group, Inc
DBA Doing business as
Authorized official Tacke, Samuel B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2005
Last updated Jul 21st, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1326046012 NPPES
California MEDICAID ZZZ48011Z

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