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STOCKTON CARDIO THORACIC SURG MD G NPI 1427180520


NPI Information

NPI: 1427180520
Provider Name: STOCKTON CARDIO THORACIC SURG MD G

Former Legal Business Name: JAMES D MORRISSEY, M.D., INC

Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
1617 N CALIFORNIA ST
SUITE 1D
STOCKTON, CA
ZIP 95204
Phone: (209) 948-1234
Get Directions

STOCKTON CARDIO THORACIC SURG MD G is a vascular surgery surgery in Stockton, CA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. STOCKTON CARDIO THORACIC SURG MD G NPI is 1427180520. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is James D Morrissey, M.d., Inc.

The provider's business location address is:

1617 N CALIFORNIA ST
SUITE 1D
STOCKTON, CA
ZIP 95204-117
Phone: (209) 948-1234
Fax: (209) 462-9233

The provider's authorized official is Judee L Willhite .
The authorized official title is Biller and has the following contact phone number (209) 948-1236.

The enumeration date for this NPI number is 3/12/2007 and was last updated on 2/13/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0129XSurgeryVascular SurgeryG23097CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GR00053080MEDICAIDCALIFORNIA
2ZZZ82333ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAMEDICARE PROVIDER ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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