STANISLAUS ORTHOPAEDICS SPORTS MEDICINE CLINIC
NPI 1477746501
Orthopaedic Surgery in Modesto, CA
NPI Status: Active since August 22, 2007
Contact Information
609 E ORANGEBURG AVE
#201
MODESTO, CA
ZIP 95350
Phone: (209) 572-3224
Fax: (209) 572-4528
- Organization
- Orthopaedic Surgery
About STANISLAUS ORTHOPAEDICS SPORTS MEDICINE CLINIC
This page provides the complete NPI Profile along with additional information for Stanislaus Orthopaedics Sports Medicine Clinic, a provider established in Modesto, California operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1477746501 assigned on August 2007. The practitioner's primary taxonomy code is 207X00000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. Stanislaus Orthopaedics Sports Medicine Clinic operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Greg Fields (Office Manager)
- NPI
- 1477746501
- Provider Name
- STANISLAUS ORTHOPAEDICS SPORTS MEDICINE CLINIC
- Entity Type
- Organization
- Location Address
- 609 E ORANGEBURG AVE #201 MODESTO, CA 95350
- Location Phone
- (209) 572-3224
- Location Fax
- (209) 572-4528
- Mailing Address
- 609 E ORANGEBURG AVE #201 MODESTO, CA 95350
- Mailing Phone
- (209) 572-3224
- Mailing Fax
- (209) 572-4528
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-22-2007
- Last Update Date
- 08-22-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery
- Taxonomy Code
- 207X00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 213E00000X | Podiatric Medicine & Surgery Service Providers | Podiatrist |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 7 | 7 | 7 | 4 | 6 | 5 | 0 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 14 | 7 | 14 | 4 | 12 | 5 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 4 + 7 + 1 + 4 + 4 + 1 + 2 + 5 + 0 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1477746501 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 18 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1811909716 | DR. JOHN JOSEPH CASEY M.D. Individual | Specialist | 609 E ORANGEBURG AVE SUITE 201 MODESTO, CA 95350 (209) 572-3224 |
| 1174535074 | DR. JONATHAN COHEN M.D. Individual | Specialist | 609 E ORANGEBURG AVE SUITE 201 MODESTO, CA 95350 (209) 572-3224 |
| 1497767396 | DR. MICHAEL WOLTERBEEK DPM Individual | Podiatrist | 609 E ORANGEBURG AVE SUITE 201 MODESTO, CA 95350 (209) 572-3613 |
| 1164503496 | DR. PURITA Z VILLANUEVA MD Individual | Dermatology (Procedural Dermatology) | 609 E ORANGEBURG AVE SUITE 201 MODESTO, CA 95350 (209) 572-3224 |
| 1043356827 | MRS. KAREN HENRIQUEZ OTC Individual | Technician, Other | 609 E ORANGEBURG AVE MODESTO, CA 95350 (209) 572-3224 |
| 1821134503 | MRS. PAIGE CROWDER LVN Individual | Licensed Vocational Nurse | 609 E ORANGEBURG AVE MODESTO, CA 95350 (209) 572-3224 |
| 1457481269 | MS. BRENDA DAVIS ORT Individual | Specialist/Technologist, Other | 609 E ORANGEBURG AVE MODESTO, CA 95350 (209) 572-3224 |
| 1669505160 | STANISLAUS ORTHOPAEDIC AND SPORTS MEDICINE CLINIC Organization | Specialist | 609 E ORANGEBURG AVE MODESTO, CA 95350 (209) 572-3224 |
| 1508095613 | MRS. JULIE KAY WAMPLER OTC Individual | 609 E ORANGEBURG AVE SUITE 201 MODESTO, CA 95350 (209) 572-3224 | |
| 1154688414 | MRS. BRANDY R CHAPIN OTC Individual | 609 E ORANGEBURG AVE SUITE 201 MODESTO, CA 95350 (209) 572-3224 | |
| 1184749830 | MRS. CAROLYN LEVESEY PEASE Individual | Physical Therapist | 609 E ORANGEBURG AVE 101 MODESTO, CA 95350 (209) 574-9452 |
| 1033111026 | MARC A TRZECIAK D. O. Individual | Orthopaedic Surgery | 609 E ORANGEBURG AVE SUITE 201 MODESTO, CA 95350 (209) 572-3224 |
| 1518979418 | DR. WILLIAM LOUIS PISTEL D.O. Individual | Orthopaedic Surgery | 609 E ORANGEBURG AVE SUITE 201 MODESTO, CA 95350 (209) 572-3224 |
| 1972720357 | HAILEY K. HIMES Individual | Physical Therapist | 609 E ORANGEBURG AVE 101 MODESTO, CA 95350 (209) 572-3224 |
| 1053552745 | DR. JONATHAN MATTHEW PETTEGREW D.O. Individual | Orthopaedic Surgery (Sports Medicine) | 609 E ORANGEBURG AVE SUITE 201 MODESTO, CA 95350 (209) 572-3224 |
| 1386892529 | PACIFIC MEDICAL, INC. Organization | Prosthetic/Orthotic Supplier | 609 E ORANGEBURG AVE SUITE 102 MODESTO, CA 95350 (209) 526-1721 |
| 1528394202 | DR. EHSAN TABARAEE M.D. Individual | Orthopaedic Surgery (Orthopaedic Surgery of the Spine) | 609 E ORANGEBURG AVE SUITE 201 MODESTO, CA 95350 (209) 572-3224 |
| 1780929034 | MRS. JULIE ELIZABETH SCHERER PA-C Individual | Physician Assistant (Surgical) | 609 E ORANGEBURG AVE SUITE 201 MODESTO, CA 95350 (209) 572-3224 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477746501, enumerated in the NPI registry as an "organization" on August 22, 2007
The provider is located at 609 E Orangeburg Ave #201 Modesto, Ca 95350 and the phone number is (209) 572-3224
This medical organization specializes in Orthopaedic Surgery with taxonomy code 207X00000X
This NPI record was last updated on August 22, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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