Medcorp Medical Group a Professional Medical Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

MEDCORP MEDICAL GROUP A PROFESSIONAL MEDICAL CORPORATION

Practice address

373 Park Marina Cir
Redding, CA 96001-0965

Phone

(530) 243-0440

Fax

(530) 243-0445

NPI assigned

Jun 2, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John Robert Pattee, MDNPI 1386747442

Title

President

Phone

(530) 243-0440

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John R Pattee, MD

  • Anesthesiology Physician
  • Klamath Falls, OR
  • NPI 1386747442
  Authorized official Same address or phone
• Jenifer Ann Henrie, MD

  • Anesthesiology Physician
  • Chico, CA
  • NPI 1548201239
  NPD (past)

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356388763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 492680",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960492680",
            "telephone_number": "530-243-0440",
            "fax_number": "530-243-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 PARK MARINA CIR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010965",
            "telephone_number": "530-243-0440",
            "fax_number": "530-243-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCORP MEDICAL GROUP A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATTEE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-243-0440",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MD Aesthetics
• Andrew Richard Mead, SUD COUNSELOR
• Morgan K Meadows, M.A.CCC-SLP
• Andrea Lee Meason
• Medcare Home Medical LLC
• Medial Support Los Angeles a Medical Corporation
• Medical Doctors Imaging Inc a Medical Group
• Medical Home Specialists Inc (Medical Home Care Professionals Inc)
• Medical Social Services Consultation Inc. (Redding Counselors Group)
• Medical Social Services Consultation, Inc (Senior Care Case Management by MSSC, Inc)

• Specialist in Redding, CA
• Providers in Redding, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.