Modesto Orthopedic Medical Group

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

MODESTO ORTHOPEDIC MEDICAL GROUP

Practice address

1501 Oakdale Rd Ste 301
Modesto, CA 95355-3382

Phone

(209) 571-5071

Fax

(209) 577-1157

NPI assigned

May 16, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Laura Milam

Title

Office Manager

Phone

(209) 571-5071

Specialties & licenses 1

Addresses

Other names 1

• MODESTO ORTHOPEDIC GROUP Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Morrison Cash, M.D.

  • Orthopaedic Surgery Physician
  • Modesto, CA
  • NPI 1427061092

  Orthopaedic Surgery

  NPD
• Leslie A. Konkin, M.D.

  • Orthopaedic Surgery Physician
  • Modesto, CA
  • NPI 1629081195

  Orthopaedic Surgery

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1494892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1326575770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 576158",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953576158",
            "telephone_number": "209-571-5071",
            "fax_number": "209-577-1157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 OAKDALE RD STE 301",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953553382",
            "telephone_number": "209-571-5071",
            "fax_number": "209-577-1157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1425 W H St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Oakdale",
            "state": "CA",
            "postal_code": "953613591",
            "country_code": "US",
            "telephone_number": "209-571-5071",
            "fax_number": "209-577-1157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MODESTO ORTHOPEDIC MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-16",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "MILAM",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "209-571-5071"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MODESTO ORTHOPEDIC GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Modesto Natural Birth Place
• Modesto Neonatal Medical Group, Inc.
• Modesto on-Call Services, LLC
• Modesto Optometric Vision Center Inc a Professional Optometric Corp
• Modesto Orthopedic Group
• Modesto Pain Diagnostic Treatment Center
• Modesto Pediatrics
• Modesto Physical Therapy
• Modesto Primary Care
• Modesto Radiological Medical Group, Inc.

• All providers in Modesto, CA
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.