MCHENRY MEDICAL GROUP – NPI #1548494974
Urology

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.

Health Care Provider Taxonomy Code for Urology

MCHENRY MEDICAL GROUP is an urologist located in MANTECA, CA. NPPES has assigned the NPI number 1548494974 to MCHENRY MEDICAL GROUP on May 13, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MCHENRY MEDICAL GROUP” is a dba name, the actual legal business name for this organization is GREATER MODESTO MEDICAL SURGICAL ASSOCIATES, INC.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208800000X from the Health Care Provider Taxonomy code set, which is classified as Urology.

The NPI profile was previously updated about 17 years ago on Oct 05, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MCHENRY MEDICAL GROUP below.

NPI Profile for
GREATER MODESTO MEDICAL SURGICAL ASSOCIATES, INC.

NPI Number
1548494974
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GREATER MODESTO MEDICAL SURGICAL ASSOCIATES, INC.
Doing Business As (dba): MCHENRY MEDICAL GROUP
Primary location
200 COTTAGE AVE
SUITE 101
MANTECA, CA 95336-4935
Phone: (209) 577-3388 Fax: (209) 342-3743
Mailing address
1541 FLORIDA AVE
SUITE 200
MODESTO, CA 95350-4429
Phone: (209) 577-3388 Fax: (209) 342-3743
Organization Subpart
No
Authorized Official
JOHN PORTEOUS
SHAREHOLDER
Phone: (209) 577-3388
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208800000X
- Urology (Primary)
2088P0231X
- Urology / Pediatric Urology

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.