DR. KATHY P TOM (NPI# 1891135844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891135844 |
Entity Type | Individual |
Full Name | DR. KATHY P TOM |
Credential | DO |
Practice Address |
4601 Dale Rd Modesto CA 95356-9718 |
Practice Telephone | 2097355000 |
Mailing Telephone | (209) 735-5000 |
Enumeration Date | 2013-07-04 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207V00000X | Obstetrics & Gynecology | 20A15176 | CA | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
2525 S Michigan Ave, Chicago, IL 606162315 | 3125672490 |
Street Address |
4601 DALE RD |
City | MODESTO |
State | CA |
Zip Code | 95356-9718 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912998311 | Stephen Matthew Willey | Physical Therapist | 4601 Dale Rd, Modesto, CA 95356 | 2005-11-03 |
1760098263 | Paola Ramirez | Behavior Technician | 4601 Dale Rd, Modesto, CA 95356-9718 | 2020-09-20 |
1538772678 | Roy Choi | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2020-08-28 |
1730797499 | Donna Cruz | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2020-07-20 |
1538777487 | Kyle Wesley Hopson | Physical Therapist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2020-07-16 |
1376176313 | Su Jin Yeo | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2020-02-18 |
1972135580 | Tran Huyen Smernes | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2020-02-11 |
1740827534 | Evelyn Kwong | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2019-11-29 |
1467000463 | Oanh Hoang Nguyen Phan | Nurse Practitioner | 4601 Dale Rd, Modesto, CA 95356-9718 | 2019-09-03 |
1598311227 | Janine Grace Lastimosa Tennant | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2019-08-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649809021 | Amelia E Delgadillo | Licensed Vocational Nurse | 501 Triangle Rd, Modesto, CA 95356 | 2020-04-07 |
1689220279 | Meagan Veneman | Physical Medicine & Rehabilitation | 125 Hogue Rd, Modesto, CA 95356 | 2019-08-10 |
1497131213 | Hermes Guardian Transport | Non-emergency Medical Transport (VAN) | 4221 Erin Way, Modesto, CA 95356 | 2015-08-04 |
1811373640 | Melissa Ruiz | Marriage & Family Therapist | 5815 Stoddard Rd Suite 600, Modesto, CA 95356 | 2015-08-04 |
1922242866 | Lifecare Solutions Inc | Durable Medical Equipment & Medical Supplies | 500 Glass Ln Ste H, Modesto, CA 95356 | 2009-04-22 |
1659541647 | Ashley Allison Streeter | Dentist | 556 Lyell Dr, Modesto, CA 95356 | 2008-03-05 |
1265636013 | Margaret Kathleen Grisell | Orthopaedic Surgery | 4601 Dale Ave, Kaiser Modesto Medical Center, Orthopedic Surgery, Modesto, CA 95356 | 2007-06-14 |
1841412111 | Bobby Gene Boswell | Specialist/Technologist | 3908 Vintage Cove, Modesto, CA 95356 | 2007-05-03 |
1598892861 | Merritt Radiological Medical Group Inc | Radiology | 526 Charity Way, Modesto, CA 95356 | 2007-02-27 |
1396871091 | Michael Steven Beck | Social Worker | 4640 Spyres Way, Building B, Suite 7, Modesto, CA 95356 | 2007-02-26 |
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Taxonomy Code | 207V00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124418835 | Casey Elizabeth Richardson | Obstetrics & Gynecology | 1552 Coffee Rd Fl 1, Modesto, CA 95355-3122 | 2015-02-02 |
1194922351 | Darshana Kittur | Obstetrics & Gynecology | Kaiser Foundation Hospital- Modesto, 4601 Dale Road 3rd Floor, Modesto, CA 95356-2804 | 2007-06-29 |
1770517229 | Charles Slocumb M.d. | Obstetrics & Gynecology | 2209 Coffee Rd Ste M, Modesto, CA 95355 | 2006-07-10 |
1801838917 | David S Henry | Obstetrics & Gynecology | 1444 Coffee Road, Modesto, CA 95355 | 2006-06-12 |
1427008028 | Esther June Tow-der | Obstetrics & Gynecology | 1552 Coffee Rd, Modesto, CA 95355-3107 | 2006-05-12 |
1174506315 | Lisa Wynette Murphy | Obstetrics & Gynecology | 200 W Coolidge Ave, Modesto, CA 95350-4447 | 2005-11-22 |
1336134303 | Lloyd James Lee Sr. | Obstetrics & Gynecology | 1500 Florida Ave, Modesto, CA 95350 | 2005-09-15 |
1679923387 | Carson Rodeffer | Obstetrics & Gynecology | 1552 Coffee Rd Fl 1, Modesto, CA 95355-3122 | 2016-06-14 |
1528414133 | Nicholas Holt Hopkins | Obstetrics & Gynecology | 1552 Coffee Rd, Modesto, CA 95355-3122 | 2016-05-12 |
1548680747 | Andrea Moreno | Obstetrics & Gynecology | 4601 Dale Rd, Modesto, CA 95356 | 2014-04-27 |
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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.