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LODI ORTHOPAEDIC MEDICAL GROUP NPI 1962490078


NPI Information

NPI: 1962490078
Provider Name: LODI ORTHOPAEDIC MEDICAL GROUP

Doing Business As: THOMAS P MCKENZIE MD

Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
924 S FAIRMONT AVE
LODI, CA
ZIP 95240
Phone: (209) 334-2590
Get Directions

LODI ORTHOPAEDIC MEDICAL GROUP is an orthopaedic surgery in Lodi, CA. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. LODI ORTHOPAEDIC MEDICAL GROUP NPI is 1962490078. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Thomas P Mckenzie Md.

The provider's business location address is:

924 S FAIRMONT AVE
LODI, CA
ZIP 95240-119
Phone: (209) 334-2590
Fax: (209) 334-0944

The provider's authorized official is Thomas Peter Mckenzie .
The authorized official title is President and has the following contact phone number (209) 334-2590.

The enumeration date for this NPI number is 10/12/2005 and was last updated on 4/25/2008.


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
1207X00000XOrthopaedic SurgeryYes

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
1200008575OTHERCALIFORNIARAILROAD MEDICARE
200G680772MEDICARE PINCALIFORNIA
30699880001MEDICARE NSCCALIFORNIA
4GR0029390MEDICAIDCALIFORNIA
5ZZZ06583ZMEDICARE PINCALIFORNIA
600G680770MEDICARE PINCALIFORNIA

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: 4/28/2024

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