WESTERN ASSOCIATES IN SURGERY


Address: 2209 Coffee Road, Suite M, Modesto, CA 95355
Phone: 2095268038

WESTERN ASSOCIATES IN SURGERY (NPI# 1720292733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720292733
Entity Type Organization
Organization Name WESTERN ASSOCIATES IN SURGERY
Practice Address 2209 Coffee Road, Suite M
Modesto
CA 95355
Practice Telephone 2095268038
Enumeration Date 2007-05-09
Last Update Date 2008-03-06
Authorized Official Name DAVID ELLERTSON (CARDIOVASCULAR DISEASE)
Authorized Official Telephone 2095268038
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
G17987 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA MEDICARE ID CP7941 01

Office Location

Street Address 2209 COFFEE ROAD, SUITE M
City MODESTO
State CA
Zip Code 95355

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548473556 Pacific Radiology, LLC Radiology 2209 Coffee Road, Suite M, Modesto, CA 95355 2007-05-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982211793 I To I LLC Optometrist 3401 Oakdale Rd, Ste 525, Modesto, CA 95355 2020-09-25
1205443116 Altwal and Shelat Dds Inc Dentist 1317 Oakdale Road, Suite 310, Modesto, CA 95355 2020-09-24
1184255911 Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation Clinic/Center 3401 Oakdale Road, Suite 505, Modesto, CA 95355 2020-01-30
1487133856 Natalie Vargas Behavior Technician 1317 Oakdale Road Suite 610, Modesto, CA 95355 2018-08-07
1871079152 Jill H Fusia Dietitian, Registered 1404 Cordero Court, Modesto, CA 95355 2018-07-19
1043727514 Emily Lauren Schaefer Behavioral Analyst 3425 Coffee Rd Ste C2, Modesto, CA 95355 2018-01-05
1376083691 Hari Gnanasekeram, PC Technician, Cardiology 1303 Mable Avenu, Modesto, CA 95355 2017-03-06
1598139891 Encompass Health Rehabilitation Hospital of Modesto, LLC Rehabilitation Hospital 1303 Mable Avenue, Modesto, CA 95355 2015-11-24
1013387844 Diana Faith Kigenyi Social Worker 1225 Oakdale Road, Modesto, CA 95355 2015-10-06
1437530672 Tzu Yi Wei Acupuncturist 2209 Coffee Road, Suite A, Modesto, CA 95355 2015-06-12
Find all providers in zip 95355

Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669415303 Chester Mcbride Boltwood Jr. Internal Medicine 4603 Dale Rd, Kaiser Permanente Medical Offices, Modesto, CA 95357-7680 2006-06-13
1972550150 Shewit K Weldetensae Internal Medicine 1540 Florida Ave 100, Modesto, CA 95350-4430 2006-05-31
1063469245 Satnam Singh Ludder Internal Medicine 1540 Florida Ave Ste 100, Modesto, CA 95350-4430 2006-05-31
1386615631 Walter W Chien Internal Medicine 2013 Coffee Rd, Modesto, CA 95355-2405 2006-01-26
1568445534 Isao Jack Tsuji Internal Medicine 1401 Spanos Court, Ste 230, Modesto, CA 95355-7813 2005-11-23
1144695958 Sutter Valley Medical Foundation Internal Medicine 1409 E Briggsmore Ave, Modesto, CA 95355-2707 2015-12-04
1164734489 Mutahir Ubaid Khan Internal Medicine 1401 Spanos Ct, Suite 230, Modesto, CA 95355-2810 2010-07-02
1134364334 Emad S Najjar Internal Medicine 1540 Florida Ave, Modesto, CA 95350-4430 2008-12-03
1174785695 Anant K Vyas Internal Medicine 1540 Florida Ave Ste 100, Modesto, CA 95350-4430 2008-06-26
1073680971 Navneet K. Dullet Internal Medicine 1540 Florida Ave Ste 100, Modesto, CA 95350-4430 2006-11-29
Find all providers in MODESTO

Competitor

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City MODESTO
Zip Code 95355

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Dataset Information

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.

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