| Integrity Wound Physicians Inc | |
|
400 E Orangeburg Ave Ste 5 Modesto CA 95350-5365 | |
| (516) 589-5137 | |
| (858) 800-0463 |
| Full Name | Integrity Wound Physicians Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 400 E Orangeburg Ave Ste 5, Modesto, California |
| Authorized Official Name and Position | Faisal Amin (OWNER) |
| Authorized Official Contact | 5165895137 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrity Wound Physicians Inc 16769 Bernardo Center Dr Ste 1-827 San Diego CA 92128-2546 | Integrity Wound Physicians Inc 400 E Orangeburg Ave Ste 5 Modesto CA 95350-5365 Ph: (516) 589-5137 |
| NPI Number | 1285409540 |
|---|---|
| Provider Enumeration Date | 11/16/2023 |
| Last Update Date | 02/22/2024 |
| Certification Date | 02/22/2024 |
| Medicare PECOS PAC ID | 1355785346 |
|---|---|
| Medicare Enrollment ID | O20240217000825 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285409540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Daniel H Kosoy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770627259 PECOS PAC ID: 4688689987 Enrollment ID: I20060207001040 |
| Provider Name | Dolores R Kent |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366405276 PECOS PAC ID: 9032110549 Enrollment ID: I20070126000139 |
| Provider Name | Alfred B Johnson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174508865 PECOS PAC ID: 3072575125 Enrollment ID: I20130207000182 |
| Provider Name | Faisal Amin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225328818 PECOS PAC ID: 9335364132 Enrollment ID: I20140711000880 |
| Provider Name | Mohamed Kadry-hassanein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164794673 PECOS PAC ID: 3173812112 Enrollment ID: I20160516000949 |
| Provider Name | Taylor Burch Barnikel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235425547 PECOS PAC ID: 8325269640 Enrollment ID: I20160520001945 |
| Provider Name | Lee K Au |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366458317 PECOS PAC ID: 6002875242 Enrollment ID: I20161005002772 |
| Provider Name | Sandra J Taylor |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922089408 PECOS PAC ID: 4981770880 Enrollment ID: I20170419002784 |
| Provider Name | Najib M Allabadi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538692256 PECOS PAC ID: 5890114417 Enrollment ID: I20201001001229 |
| Provider Name | Andrea a Zaw |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1073994455 PECOS PAC ID: 8527359868 Enrollment ID: I20210708003129 |
| Provider Name | Christopher Kim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588155477 PECOS PAC ID: 4284980475 Enrollment ID: I20211018002504 |
| Provider Name | Mohammad Yusuf Hanif |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851701296 PECOS PAC ID: 7618192881 Enrollment ID: I20220304000731 |
| Provider Name | Meghan M Kubala |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1770012684 PECOS PAC ID: 6507137163 Enrollment ID: I20220906001143 |
| Provider Name | Eric Johnson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689080525 PECOS PAC ID: 6800105081 Enrollment ID: I20220908000480 |
| Provider Name | Jayson Wisk |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821415944 PECOS PAC ID: 0446608798 Enrollment ID: I20231127001647 |
| Provider Name | Hayden Gabriel Schultz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992327605 PECOS PAC ID: 9133562242 Enrollment ID: I20240206001839 |
| Provider Name | Frank Efrem Primus |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366734618 PECOS PAC ID: 7214224047 Enrollment ID: I20240814002379 |
| Provider Name | Renee N Carter Owens |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891816146 PECOS PAC ID: 0547386625 Enrollment ID: I20241009002335 |
| Provider Name | Sharon Mcbeth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699908806 PECOS PAC ID: 4486646080 Enrollment ID: I20250811003382 |
| Provider Name | Kimberly L. Gandy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629041496 PECOS PAC ID: 8628974425 Enrollment ID: I20251022001958 |
| Provider Name | Yusef Jalil Buti |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740927664 PECOS PAC ID: 1153817168 Enrollment ID: I20251230000242 |
Tushar R. Modi, M.D. Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 413 E Orangeburg Ave Ste A, Modesto, CA 95350 Phone: 209-529-9600 Fax: 209-544-2620 |
Golden Valley Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1510 Florida Ave, Suite B, Modesto, CA 95350 Phone: 209-549-7090 Fax: 209-549-7099 |
Golden Valley Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1114 6th St, Modesto, CA 95354 Phone: 209-576-2845 Fax: 209-384-3966 |
Golden Valley Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1121 Hammond St, Modesto, CA 95351 Phone: 209-576-4437 Fax: 209-384-3966 |
Greater Modesto Medical Surgical Associates, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3125 Conant Ave, Modesto, CA 95350 Phone: 209-214-7053 Fax: 209-523-0764 |
Gettysburg Medical Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1130 Coffee Rd, Building 10, Modesto, CA 95355 Phone: 209-725-2060 Fax: 209-725-2072 |