RICHARD A CERCLE (NPI# 1528149051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528149051 |
| Entity Type | Individual |
| Full Name | RICHARD A CERCLE |
| Practice Address |
1429 College Ave Ste B Modesto CA 95350-4046 |
| Practice Telephone | 2095268038 |
| Practice Fax Number | 2095266841 |
| Mailing Telephone | 2095268038 |
| Mailing Fax Number | 2095266841 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2008-01-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
G11715 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1429 COLLEGE AVE STE B |
| City | MODESTO |
| State | CA |
| Zip Code | 95350-4046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447393863 | Richard A. Cercle M.d. | Internal Medicine | 1429 College Ave Ste B, Modesto, CA 95350-4046 | 2007-02-15 |
| 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 | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447393863 | Richard A. Cercle M.d. | Internal Medicine | 1429 College Ave Ste B, Modesto, CA 95350-4046 | 2007-02-15 |
| 1538153713 | Pardeep S Brar | Internal Medicine | 803 Coffee Rd, Suite 5, Modesto, CA 95355-4227 | 2005-09-02 |
| 1801226873 | Muhammad A Shafqet | Internal Medicine | 1409 E Briggsmore Ave, Modesto, CA 95355 | 2013-11-12 |
| 1992067631 | Pardeep Brar M.d., Inc. | Internal Medicine | 803 Coffee Rd, Suite #5, Modesto, CA 95355-4227 | 2012-06-08 |
| 1104105030 | Tanya Hoa Dam | Internal Medicine | 1541 Florida Ave, Suite 200, Modesto, CA 95350-4429 | 2011-08-09 |
| 1871813097 | Victorio Parayno Pidlaoan | Internal Medicine | 1409 E Briggsmore Ave, Modesto, CA 95355-2707 | 2010-06-10 |
| 1568646826 | Advanced Sleep Disorder Center, Inc. | Internal Medicine | 4206 Technology Dr Ste 2, Modesto, CA 95356-9484 | 2007-12-21 |
| 1407052244 | Waleed Abdul Ibrahim | Internal Medicine | 1541 Florida Ave, Suite 200, Modesto, CA 95350 | 2007-06-26 |
| 1881748846 | Modesto Gastroenterology Medical Corporation | Internal Medicine | 2336 Sylvan Ave, Suite A, Modesto, CA 95355-9211 | 2007-01-23 |
| 1952311367 | Alfred Charles Gaymon | Internal Medicine | 4601 Dale Road, Modesto, CA 95356 | 2006-08-08 |
| Find all providers in MODESTO | ||||
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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.