MODESTO RADIOLOGICAL MEDICAL GROUP, INC (NPI# 1881198604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881198604 |
| Entity Type | Organization |
| Organization Name | MODESTO RADIOLOGICAL MEDICAL GROUP, INC |
| Practice Address |
1202 Chelshurst Way Spring TX 77379-3247 |
| Mailing Address |
1524 Mchenry Ave Ste 430 Modesto CA 95350-4567 |
| Practice Telephone | 5594554009 |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2018-03-19 |
| Authorized Official Name | MARK E MOORE (CFO) |
| Authorized Official Telephone | 2095774444 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255872552 | Modesto Radiological Medical Group, Inc | Radiology | 3421 Deep Waters Ct, Simi Valley, CA 93065-0587 | 2017-03-20 |
| 1134670656 | Modesto Radiological Medical Group, Inc | Radiology | 8673 Julie Lynne Cir, Tracy, CA 95304-9207 | 2016-10-19 |
| 1073969838 | Modesto Radiological Medical Group, Inc | Radiology | 148 Beachview Ave, Santa Cruz, CA 95060-3008 | 2016-05-11 |
| 1992170542 | Modesto Radiological Medical Group, Inc | Radiology | 728 Murphy Dr, San Mateo, CA 94402-3421 | 2015-12-08 |
| 1023482296 | Modesto Radiological Medical Group, Inc | Radiology | 6729 Monte Rd, San Luis Obispo, CA 93401-8050 | 2015-11-25 |
| 1861866022 | Modesto Radiological Medical Group, Inc | Radiology | 1648 Dalton Rd, Palos Verdes Estates, CA 90274-1835 | 2015-11-25 |
| 1760856934 | Modesto Radiological Medical Group, Inc | Radiology | 2132 Lysander Way, Roseville, CA 95661-3220 | 2015-11-25 |
| 1154808095 | Modesto Radiological Medical Group, Inc | Radiology | 3750 Whitman Cir, Carmel, CA 93923-8326 | 2018-07-24 |
| 1063953362 | Modesto Radiological Medical Group, Inc | Radiology | 1200 4th St, Apt 103, San Francisco, CA 94158-2392 | 2017-03-20 |
| 1265973556 | Modesto Radiological Medical Group, Inc | Radiology | 6043 E Birdcage Ct, Orange, CA 92869-6015 | 2017-03-20 |
| Street Address |
1202 CHELSHURST WAY |
| City | SPRING |
| State | TX |
| Zip Code | 77379-3247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538614185 | Robert Freele Dds | Clinic/Center | 1202 Chelshurst Way, Spring, TX 77379-3247 | 2016-08-23 |
| 1588133656 | Radiological Associates Medical Group, Inc | Radiology | 1202 Chelshurst Way, Spring, TX 77379-3247 | 2018-11-19 |
| 1689142937 | Radiological Associates Medical Group, Inc | Radiology | 1202 Chelshurst Way, Spring, TX 77379-3247 | 2018-11-05 |
| 1992249296 | Robert Benson Freele | Dentist | 1202 Chelshurst Way, Spring, TX 77379-3247 | 2016-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174158661 | Hira Assad | Dentist | Spring Klein Endodontics, 6078 Farm To Market 2920, Spring, TX 77379 | 2020-03-05 |
| 1366924433 | Alicia R Horn | Counselor | 7109 Farm To Market 2920, Suite 600, Spring, TX 77379 | 2018-09-05 |
| 1235631714 | Jessica Renee Borrego | Physical Therapist | 16835 Deer Creek Driv, Spring, TX 77379 | 2018-03-01 |
| 1992217640 | Brianna Williams | Occupational Therapist | 17015 Lazy Hill Ln, Spring, TX 77379 | 2017-11-02 |
| 1558885392 | Quality Living Home Care,llc | In Home Supportive Care | 7614 Theisswood Rd, Spring, TX 77379 | 2017-08-02 |
| 1558899518 | Stuart James Rooney | Dentist | 8419 Louetta Rd Ste A, Spring, TX 77379 | 2017-06-02 |
| 1336674357 | Sonia Ann Varghese | Student in an Organized Health Care Education/Training Program | 7031 Villa Mountain Ln, Spring, TX 77379 | 2017-04-27 |
| 1063950459 | Magnificat Primary Care LLC | Clinic/Center | 17835 Kuykendahl Road, Spring, TX 77379 | 2017-02-06 |
| 1609312784 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 10833 Gleannloch Forest Drive, Spring, TX 77379 | 2017-01-12 |
| 1467996025 | U S Anesthesia Partners of Texas, Pa | Anesthesiology | 8687 Louetta Rd Ste 275, Spring, TX 77379 | 2016-12-15 |
| Find all providers in zip 77379 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629683818 | Springwood Radiology Associates, Pllc | Radiology | 3010 Palmer Way, Spring, TX 77380-4081 | 2020-09-14 |
| 1205230133 | Salient Radiology Associates, Pllc | Radiology | 6 Paloma Bend Pl, Spring, TX 77389-2157 | 2014-10-21 |
| 1043549231 | Chirag Parghi | Radiology | 15 S Highland Ct, Spring, TX 77381-3830 | 2009-12-16 |
| 1609836295 | Mri Solutions Iv Ltd. | Radiology | 230 Cypresswood Dr, Suite E, Spring, TX 77388-6042 | 2006-03-27 |
| 1588133656 | Radiological Associates Medical Group, Inc | Radiology | 1202 Chelshurst Way, Spring, TX 77379-3247 | 2018-11-19 |
| 1689142937 | Radiological Associates Medical Group, Inc | Radiology | 1202 Chelshurst Way, Spring, TX 77379-3247 | 2018-11-05 |
| 1306282637 | Salient Radiology Associates, Pllc | Radiology | 6225 Fm 2920 Rd, Spring, TX 77379-3474 | 2013-05-14 |
| 1982702197 | Echo-tech Unlimited-ultra Sound Scanning Svcs, Inc | Radiology | 18 Ledbury Park Ln, Spring, TX 77379-3669 | 2006-09-20 |
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|---|---|---|---|---|
| 1700492311 | Mobile Life-saving Health Services LLC | Radiology | 12522 Reverence Way, Cypress, TX 77429-0038 | 2020-09-18 |
| 1861000572 | Benchmark Imaging Center LLC | Radiology | 510 Victoria Ln Ste 2, Harlingen, TX 78550-3239 | 2020-07-20 |
| 1174131049 | Specialty Imaging Consultants LLC | Radiology | 4320 Westway Ave, Dallas, TX 75205-3728 | 2020-07-16 |
| 1689294118 | Yolanda Salas Vergara | Radiology | 215 E Quincy St Ste 100, San Antonio, TX 78215-2032 | 2020-04-24 |
| 1568095123 | Century Radiology Medical Group, Inc | Radiology | 7102 Bethencourt, San Antonio, TX 78209-3407 | 2020-02-21 |
| 1760030852 | Francis Joseph Carabin | Radiology | 318 E Nakoma St, San Antonio, TX 78216-2795 | 2019-08-31 |
| 1922650605 | Hw Diagnostics LLC | Radiology | 18652 Mckay Dr Ste 200, Humble, TX 77338-5716 | 2019-07-12 |
| 1780246561 | Imaging Consultants | Radiology | 7250 Dallas Pkwy Ste 400, Plano, TX 75024-4931 | 2019-07-02 |
| 1366000531 | Interventional Partners, LLC | Radiology | 1650 Round Rock Ave Ste 100, Round Rock, TX 78681-4082 | 2019-06-03 |
| 1831757087 | Ae Diagnostics LLC | Radiology | 17903 W Lake Houston Pkwy Ste 101b, Atascocita, TX 77346-3954 | 2019-06-03 |
| 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.