MODESTO ANESTHESIA MEDICAL GROUP (NPI# 1750443305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750443305 |
| Entity Type | Organization |
| Organization Name | MODESTO ANESTHESIA MEDICAL GROUP |
| Practice Address |
1441 Florida Avenue Modesto CA 95350-4405 |
| Practice Telephone | 2095763514 |
| Mailing Telephone | 2095763514 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | HWAN KIM (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 20957635414 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| Street Address |
1441 FLORIDA AVENUE |
| City | MODESTO |
| State | CA |
| Zip Code | 95350-4405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194770651 | Carolyn Joy Di Francesco | Physician Assistant | 1441 Florida Avenue, Modesto, CA 95350 | 2006-05-23 |
| 1033601083 | Edward W. Verde, Md, Inc. | Anesthesiology | 1441 Florida Avenue, Modesto, CA 95350-4418 | 2018-06-05 |
| 1205267242 | Catherine M. Roby, D.o., Inc. | Anesthesiology | 1441 Florida Avenue, Modesto, CA 95350-4405 | 2013-12-02 |
| 1619050846 | Anesthesia Specialists Medical Group,inc | Anesthesiology | 1441 Florida Avenue, Doctors Medical Center, Modesto, CA 95350 | 2006-10-23 |
| 1316032600 | Teresa Ann Vincent | Registered Nurse | 1441 Florida Avenue, Modesto, CA 95350 | 2006-10-04 |
| 1114949922 | Edward W Verde | Anesthesiology | 1441 Florida Avenue, Cardiovascular Anesthesiology, Modesto, CA 95352 | 2006-07-24 |
| 1245256775 | Hwan Y Kim | Anesthesiology | 1441 Florida Avenue, Modesto, CA 95350-4405 | 2006-07-15 |
| 1841231362 | Kent David Tonnemacher | Emergency Medicine | 1441 Florida Avenue, Modesto, CA 95350 | 2006-06-08 |
| 1083654057 | Hoaiminh Nguyen | Physician Assistant | 1441 Florida Avenue, Modesto, CA 95350 | 2006-06-07 |
| 1336187699 | Brian Michael Thompson | Physician Assistant | 1441 Florida Avenue, Modesto, CA 95350 | 2006-06-02 |
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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 |
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| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750939781 | Jerome Richards Md Inc | Anesthesiology | 609 E Orangeburg Ave Bldg B, Modesto, CA 95350-5512 | 2019-09-03 |
| 1194156877 | Anesthesia Management, Inc. | Anesthesiology | 3055 Floyd Ave, Apt J237, Modesto, CA 95355-7923 | 2013-12-06 |
| 1932274073 | Marvin D Covrig Md A Professional Medical Corporation | Anesthesiology | 817 Coffee Road, Modesto, CA 95355 | 2006-11-22 |
| 1952328965 | Joel T Yerby | Anesthesiology | 1421 Oakdale Road, Modesto, CA 95355 | 2006-07-16 |
| 1386677417 | Jerome A. Robson | Anesthesiology | 500 Coffee Road, Suite E, Modesto, CA 95355-4241 | 2006-07-09 |
| 1942279914 | Jacqueline I Decayette | Anesthesiology | 1300 Mable Ave # 1, Modesto, CA 95355-1120 | 2006-03-14 |
| 1629610803 | Bajwa Anesthesia Inc | Anesthesiology | 609 E Orangeburg Ave Bldg B, Modesto, CA 95350-5512 | 2019-10-09 |
| 1033601083 | Edward W. Verde, Md, Inc. | Anesthesiology | 1441 Florida Avenue, Modesto, CA 95350-4418 | 2018-06-05 |
| 1710415955 | Ker Yong Justine Koh Md A Professional Corporation | Anesthesiology | 1441 Florida Ave, Modesto, CA 95350-4405 | 2017-06-01 |
| 1063949287 | Epione Pain Institute, Inc. | Anesthesiology | 1524 Mchenry Ave Ste 500, Modesto, CA 95350-4568 | 2017-05-18 |
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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.