JAMES C MACMILLAN (NPI# 1366499584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366499584 |
| Entity Type | Individual |
| Full Name | JAMES C MACMILLAN |
| Credential | MD |
| Practice Address |
1541 Florida Ave 103 Modesto CA 95350-4423 |
| Mailing Address |
1541 Florida Ave 200 Modesto CA 95350-4423 |
| Practice Telephone | 2095773388 |
| Practice Fax Number | 2095230764 |
| Mailing Telephone | 2095773388 |
| Mailing Fax Number | 2095230764 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2011-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
G23487 | CA | Allopathic & Osteopathic Physicians |
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | G23487 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE GROUP PTAN | CD069A | 01 |
| CA | ZZZ76734Z | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376514919 | James Macmillan | Internal Medicine | Cornell University Health Services, Ho Plaza, Ithaca, NY 14853-3101 | 2006-01-31 |
| Street Address |
1541 FLORIDA AVE 103 |
| City | MODESTO |
| State | CA |
| Zip Code | 95350-4423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811980105 | Uzay Yasar | Urology | 1541 Florida Ave, Suite 100, Modesto, CA 95350-4423 | 2005-08-23 |
| 1457772584 | First Choice Physician Partners | Clinic/Center | 1541 Florida Ave, #101, Modesto, CA 95350-4429 | 2013-12-16 |
| 1326385659 | Deval Bhatt | Internal Medicine | 1541 Florida Ave, Ste 200, Modesto, CA 95350-4429 | 2013-01-07 |
| 1679831291 | First Choice Physician Partners | Family Medicine | 1541 Florida Ave, Ste 100, B, Modesto, CA 95350-4429 | 2012-05-02 |
| 1235497850 | First Choice Physician Partners | General Practice | 1541 Florida Ave, Ste 200, Modesto, CA 95350-4429 | 2012-05-02 |
| 1215294160 | First Choice Physician Partners | Urology | 1541 Florida Ave, Ste 100, Modesto, CA 95350-4429 | 2012-04-17 |
| 1588921431 | First Choice Physician Partners | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1541 Florida Ave, Ste 103, Modesto, CA 95350-4429 | 2012-04-17 |
| 1477810323 | First Choice Physician Partners | Otolaryngology | 1541 Florida Ave, Ste 304, Modesto, CA 95350-4429 | 2012-04-17 |
| 1659645810 | Sokea P Kiep | Registered Nurse | 1541 Florida Ave, Suite 306, Modesto, CA 95350-4429 | 2012-03-05 |
| 1447539374 | Northern California Cancer Center | Internal Medicine | 1541 Florida Ave, Suite 306, Modesto, CA 95350-4429 | 2011-08-09 |
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| 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 | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356694020 | John Talieh Medical Corp | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1401 Spanos Ct Ste 203, Modesto, CA 95355-2813 | 2012-10-18 |
| 1073775417 | Hannan Chaugle M.d. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1401 Spanos Ct Ste 125, Modesto, CA 95355-2814 | 2008-06-26 |
| 1285770529 | Lit K. Fung, M.d., Inc., A Professional Medical Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1501 Oakdale Rd Ste 218, Modesto, CA 95355-3382 | 2007-01-30 |
| 1346240264 | Lit Keung Fung | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1501 Oakdale Rd, Suite 218, Modesto, CA 95355-3381 | 2005-07-21 |
| 1588921431 | First Choice Physician Partners | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1541 Florida Ave, Ste 103, Modesto, CA 95350-4429 | 2012-04-17 |
| 1043472871 | John B Degraft-johnson | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1541 Florida Ave Ste 103, Modesto, CA 95350 | 2008-07-02 |
| 1629274782 | Minghui Liu | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1541 Florida Avenue, Suite 103, Modesto, CA 95350-4423 | 2007-06-25 |
| 1154542298 | Rajaratnam Skantharaja | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1501 Oakdale Rd, Suite 218, Modesto, CA 95355-3381 | 2007-05-02 |
| 1073553954 | Joe F Neal | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1441 Florida Ave, Modesto, CA 95350-4405 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598370728 | North County Cvt Surgery Associates | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3156 Vista Way Ste 100, Oceanside, CA 92056-3694 | 2020-09-14 |
| 1417560756 | Valiana Vascular Institute Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2501 E Chapman Ave Ste 220, Fullerton, CA 92831-3108 | 2020-08-26 |
| 1891252474 | Miguel Puig Md A Medical Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1430 Esplanade Ste 10, Chico, CA 95926-3366 | 2019-03-01 |
| 1598247991 | Pavel V Petrik Medical Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1331 W Avenue J Ste 203, Lancaster, CA 93534-2954 | 2018-08-31 |
| 1942797378 | Sharon A Bogerty Md Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 105 N Bascom Ave Ste 101b, San Jose, CA 95128-1811 | 2018-04-20 |
| 1992231112 | Samer Kanaan Md A Professional Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 27451 Los Altos, Suite 290, Mission Viejo, CA 92691 | 2017-05-08 |
| 1073065512 | Central California Chest Surgery | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 729 N Medical Center Dr W Ste 223, Clovis, CA 93611-6885 | 2016-11-01 |
| 1407214612 | George Arnold Mulder | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1150 Laurel St, Pasadena, CA 91103-2329 | 2016-02-02 |
| 1760849905 | Steven R Gundry Md Medical Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 555 E Tachevah Dr Ste 3w103, Palm Springs, CA 92262-5747 | 2016-01-19 |
| 1386018687 | Riyad Youssef Tarazi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9120 Judicial Dr, Apt 7522, San Diego, CA 92122-6700 | 2015-11-24 |
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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.