MCHENRY MEDICAL GROUP, INC. – NPI #1912183153
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.

MCHENRY MEDICAL GROUP, INC. is an urologist located in MANTECA, CA. NPPES has assigned the NPI number 1912183153 to MCHENRY MEDICAL GROUP, INC. on January 17, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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.

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, INC. below.

NPI Profile for
MCHENRY MEDICAL GROUP, INC.

NPI Number
1912183153
Enumeration Date

(more than 18 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
MCHENRY MEDICAL GROUP, INC.
Primary location
200 COTTAGE AVE
SUTE 101
MANTECA, CA 95336-4935
Phone: (209) 239-6005 Fax:
Mailing address
1541 FLORIDA AVE
SUITE 200
MODESTO, CA 95350-4429
Phone: (209) 577-3388 Fax: (209) 342-3743
Organization Subpart
No
Authorized Official
HARRIS GOODMAN
CHAIR
Phone: (209) 577-3388
Updated
Identifiers

Identifiers for MCHENRY MEDICAL GROUP, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICARE #CAZZZ48224Z
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.