MCHENRY MEDICAL GROUP, INC. (NPI# 1649456872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649456872 |
| Entity Type | Organization |
| Organization Name | MCHENRY MEDICAL GROUP, INC. |
| Practice Address |
1000 Delbon Ave Suite 2 Turlock CA 95382-2008 |
| Mailing Address |
1541 Florida Ave Suite 200 Modesto CA 95350-4429 |
| Practice Telephone | 2096348556 |
| Mailing Telephone | 2095773388 |
| Mailing Fax Number | 2093423743 |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2008-01-17 |
| Authorized Official Name | MR. HARRIS MICHAEL GOODMAN (CHAIR) |
| Authorized Official Telephone | 2095773388 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2088P0231X |
Urology Specialization: Pediatric Urology |
Allopathic & Osteopathic Physicians | ||
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE | ZZZ48224Z | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912183153 | Mchenry Medical Group, Inc. | Urology | 200 Cottage Ave, Sute 101, Manteca, CA 95336-4935 | 2008-01-17 |
| Street Address |
1000 DELBON AVE SUITE 2 |
| City | TURLOCK |
| State | CA |
| Zip Code | 95382-2008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821028374 | Valley Associated Urology Medical Group Inc | Urology | 1000 Delbon Ave, Ste 2, Turlock, CA 95380 | 2006-07-03 |
| 1063045011 | Sukhwinder Singh Bajwa | Nurse Practitioner | 1000 Delbon Ave, Turlock, CA 95382-2008 | 2020-02-18 |
| 1750648606 | First Choice Physician Partners | Urology | 1000 Delbon Ave, Ste 2, Turlock, CA 95382-2008 | 2012-04-17 |
| 1235468364 | Mary Elizabeth Starn | Nurse Practitioner | 1000 Delbon Ave, Suite3, Turlock, CA 95382-2008 | 2009-12-20 |
| 1407080823 | Greater Modesto Medical Surgical Associates, Inc. | Urology | 1000 Delbon Ave, #2, Turlock, CA 95382-2008 | 2009-05-13 |
| 1407906340 | Bryan L Green | Hearing Instrument Specialist | 1000 Delbon Ave, Suite 7, Turlock, CA 95382-2008 | 2007-01-11 |
| 1780763631 | Richard Mark Winkler | Family Medicine | 1000 Delbon Ave, Suite 4, Turlock, CA 95382-2008 | 2006-11-03 |
| 1164524302 | June P Lusher | Marriage & Family Therapist | 1000 Delbon Ave, Ste 3, Turlock, CA 95382 | 2006-09-01 |
| 1013947233 | Pathmani Goonawardena | Specialist | 1000 Delbon Ave, Suite 1, Turlock, CA 95382-2008 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710546536 | S.h.desai, D.d.s. Dental Corporation | Dentist | 3960 Geer Rd, Turlock, CA 95382 | 2019-06-06 |
| 1063982403 | Sangho N/a Cho | Occupational Therapy Assistant | 3025 West Christoffersen Pkwy, Turlock, CA 95382 | 2018-11-28 |
| 1669957254 | Leah Griffith | Behavioral Analyst | 4252 Bardini Way, Turlock, CA 95382 | 2018-09-28 |
| 1508344417 | Aspiranet | Community/Behavioral Health | 1145 W Tuolumne Rd, Turlock, CA 95382 | 2018-08-02 |
| 1730618174 | Hannah Roach | Case Manager/Care Coordinator | 4650 N Olive Ave, Turlock, CA 95382 | 2017-06-08 |
| 1801332960 | Creative Alternatives, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2701 N. Berkeley Ave., Turlock, CA 95382 | 2017-01-13 |
| 1205209723 | Caremore Health Plan | Nurse Practitioner | 1000 Delbon Avenue, Suite 5, Turlock, CA 95382 | 2015-11-05 |
| 1942615836 | Michael Collins | Emergency Medical Technician, Basic | 1890 Trail Way, Turlock, CA 95382 | 2014-06-30 |
| 1720493042 | Brandi Purpura | Physical Therapy Assistant | 3800 Geer Rd #101, Turlock, CA 95382 | 2014-06-25 |
| 1255751582 | Erin Hannink | Physical Medicine & Rehabilitation | 3800 Geer Rd Suite 101, Turlock, CA 95382 | 2014-04-25 |
| Find all providers in zip 95382 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821028374 | Valley Associated Urology Medical Group Inc | Urology | 1000 Delbon Ave, Ste 2, Turlock, CA 95380 | 2006-07-03 |
| 1750648606 | First Choice Physician Partners | Urology | 1000 Delbon Ave, Ste 2, Turlock, CA 95382-2008 | 2012-04-17 |
| 1750471777 | Craig Donald Zippe | Urology | 1801 Colorado Ave Ste 250, Turlock, CA 95382-2710 | 2006-10-13 |
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| 1891301487 | Fadl Hamouche | Urology | 400 Parnassus Ave # A632, San Francisco, CA 94143-2202 | 2020-09-18 |
| 1083233902 | Elite Medical Group PC | Urology | 2083 Compton Ave Ste 202, Corona, CA 92881-3416 | 2020-04-10 |
| 1659919660 | Thrive Medical, Inc. | Urology | 18740 Ventura Blvd Ste 101, Tarzana, CA 91356-3366 | 2019-12-20 |
| 1457997645 | David G Song Md Inc | Urology | 5365 Walnut Avenue Ste A, Chino, CA 91710-9171 | 2019-11-21 |
| 1699316273 | Golden Gate Urology Inc | Urology | 929 Clay St Ste 505, San Francisco, CA 94108-1500 | 2019-10-04 |
| 1598318461 | Khoddami Medical Group Inc | Urology | 2705 Loma Vista Rd Ste 206, Ventura, CA 93003-1584 | 2019-07-19 |
| 1942760293 | Adventist Health Physicians Network | Urology | 2701 Chester Ave # 102, Bakersfield, CA 93301-2016 | 2019-03-22 |
| 1699233361 | Orange Coast Medical, A Medical Corporation | Urology | 10900 Warner Ave Ste 121, Fountain Valley, CA 92708-3846 | 2019-03-12 |
| 1891268389 | John Joseph Granato Jr. | Urology | 333 Cumberland Rd, Glendale, CA 91202-1256 | 2019-01-07 |
| Find all providers with the same taxonomy | ||||
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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.