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MCHENRY MEDICAL GROUP INC. NPI 1912183153


NPI Information

NPI: 1912183153
Provider Name: MCHENRY MEDICAL GROUP, INC.
Classification: Urology - 208800000X
Entity Type: Organization
Address:
200 COTTAGE AVE
SUTE 101
MANTECA, CA
ZIP 95336
Phone: (209) 239-6005
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MCHENRY MEDICAL GROUP, INC. is an urology in Manteca, CA. The provider is 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. NPI is 1912183153. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

200 COTTAGE AVE
SUTE 101
MANTECA, CA
ZIP 95336-935
Phone: (209) 239-6005

The provider's authorized official is Harris Michael Goodman .
The authorized official title is Chair and has the following contact phone number (209) 577-3388.

The enumeration date for this NPI number is 1/17/2008 and was last updated on 1/17/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12088P0231XUrologyPediatric UrologyNo
2208800000XUrologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ48224ZOTHERCALIFORNIAMEDICARE #

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: 11/14/2023

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