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MCHENRY MEDICAL GROUP
NPI 1548494974
Urology in Manteca, CA

Active since May 13, 2009
200 COTTAGE AVE, SUITE 101, MANTECA, CA 95336(209) 577-3388(209) 342-3743 Get Directions Write a Review

NPPES record last updated: October 5, 2009. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mchenry Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MCHENRY MEDICAL GROUP (NPI 1548494974) is a healthcare organization registered as an urology in Manteca, California and active in the NPI registry since May 2009. The organization lists John R Porteous, Shareholder, as its authorized official.

NPPES Registry Identity

NPI1548494974
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameGREATER MODESTO MEDICAL SURGICAL ASSOCIATES, INC.
Location Address200 COTTAGE AVE, SUITE 101Manteca, CA 95336-4935
Mailing Address1541 Florida Ave, Suite 200Modesto, CA 95350-4429 · (209) 577-3388 · Fax (209) 342-3743
Phone(209) 577-3388
Fax(209) 342-3743
Organization SubpartNo
Authorized OfficialJohn R PorteousShareholder · (209) 577-3388
Enumeration DateMay 13, 2009
Last NPPES UpdateOctober 5, 2009
✔ NPI 1548494974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Also ListedUrology · Pediatric UrologyTaxonomy 2088P0231X
200 COTTAGE AVE, Manteca, CA 95336
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Other Names 1

Doing Business AsMchenry Medical Group

Other Identifiers 1

Medicare PINCD069BCA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL STEVEN DAVIS M.D.
Internal Medicine (Pulmonary Disease)
200 COTTAGE AVE, STE 203
MANTECA, CA 95336
San Joaquin County (209) 825-5864
VALLEY ASSOCIATED UROLOGY MEDICARE GROUP INC
Urology
200 COTTAGE AVE, STE 101
MANTECA, CA 95336
San Joaquin County (209) 239-2197
MR. PEDRO GAMA GUZMAN RD
Dietitian, Registered
200 COTTAGE AVE
MANTECA, CA 95336
San Joaquin County (209) 624-5800
MR. MICHAEL D HEVOR MD
Psychiatry & Neurology (Neurology)
200 COTTAGE AVE, STE 200
MANTECA, CA 95336
San Joaquin County (209) 832-3332
CENTRAL VALLEY EYE MEDICAL GROUP INC.
Eyewear Supplier
200 COTTAGE AVE, STE 102
MANTECA, CA 95336
San Joaquin County (209) 239-5303
DR. RUSSELL P CARTER JR. MD
Internal Medicine
200 COTTAGE AVE, SUITE 201
MANTECA, CA 95336
San Joaquin County (209) 239-4554
SARAH VAILLANCOURT WHNP
Nurse Practitioner (Women's Health)
200 COTTAGE AVE
MANTECA, CA 95336
San Joaquin County (209) 624-5800
PRABHJIT S. PUREWAL, MD, INC
Specialist
200 COTTAGE AVE, STE 201
MANTECA, CA 95336
San Joaquin County (209) 477-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Greater Modesto Medical Surgical Associates, Inc.'s NPI number?

The NPI number for Greater Modesto Medical Surgical Associates, Inc. is 1548494974. It was assigned to this organization in the NPPES registry on May 13, 2009. The provider is doing business as Mchenry Medical Group.

Where is Greater Modesto Medical Surgical Associates, Inc. located?

Greater Modesto Medical Surgical Associates, Inc. is located at 200 Cottage Ave Suite 101, Manteca, CA 95336. The listed phone number is (209) 577-3388.

What is Greater Modesto Medical Surgical Associates, Inc.'s specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Greater Modesto Medical Surgical Associates, Inc. was last updated on October 5, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.