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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
G17987 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | MEDICARE ID | CP7941 | 01 |
Street Address |
2209 COFFEE ROAD, SUITE M |
City | MODESTO |
State | CA |
Zip Code | 95355 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548473556 | Pacific Radiology, LLC | Radiology | 2209 Coffee Road, Suite M, Modesto, CA 95355 | 2007-05-07 |
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 Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
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. |
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 |
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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.