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JACK WELDON MCANINCH MD NPI 1164476628


NPI Information

NPI: 1164476628
Provider Name: JACK WELDON MCANINCH, MD
Classification: Urology - 208800000X
Entity Type: Individual
Organization: UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP

PECOS Registration: Yes

Address:
1001 POTRERO AVENUE
RM 3A20
SAN FRANCISCO, CA
ZIP 94110
Phone: (415) 206-8806
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Jack Weldon Mcaninch, MD is an urology in San Francisco, CA with 60 years of experience. 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. Jack Weldon Mcaninch, MD NPI is 1164476628. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduation Year:1964

The provider's business location address is:

1001 POTRERO AVENUE
RM 3A20
SAN FRANCISCO, CA
ZIP 94110-518
Phone: (415) 206-8806
Fax: (415) 206-5153

The NPI 1164476628 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope (HCPCS:52000)

The enumeration date for this NPI number is 5/20/2006 and was last updated on 7/8/2007.


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
1208800000XUrologyG14761CALIFORNIAYes

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
100G147610MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
200G147610MEDICAIDCALIFORNIA
3A39329MEDICARE UPIN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.