Merritt Radiological Medical Group Inc
Radiology (Diagnostic Radiology)

Address: 526 Charity Way, Modesto, CA 95356
Phone: 2095779900

Merritt Radiological Medical Group Inc (NPI# 1598892861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1598892861
Entity Type Organization
Organization Name MERRITT RADIOLOGICAL MEDICAL GROUP INC
Practice Address 526 Charity Way
Modesto
CA 95356
Practice Telephone 2095779900
Practice Fax Number 2095771509
Mailing Address Po Box 906
Salida
CA 95368
Mailing Telephone 2095779900
Mailing Fax Number 2095771509
Authorized Official Name Mr. Robert J Croutch (PRESIDENT)
Authorized Official Telephone 2095779900
Authorized Official Credential MD
Enumeration Date 2007-02-27
Last Update Date 2007-07-09

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 2085R0202X Radiology · Diagnostic Radiology Allopathic & Osteopathic Physicians

Other Provider Identifier

State Identifier Issuer Type Code
CA 00G606980 MEDICAID

Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720270200 Monica Martinez Radiology 1524 Mchenry Ave Ste 430, Modesto, CA 95350-4567 2007-08-17
1730133893 Modesto Advanced Diagnostic Imaging Medical Center Radiology 157 E Coolidge Ave, Modesto, CA 95350-4504 2006-05-20
1992705230 Serge Djukic Radiology 2401 Orangeburg Ave, Ste 675, Pmb 246, Modesto, CA 95355-3379 2005-07-28
1104231760 Raymond Hung Md, Inc Radiology 1700 Coffee Rd, Modesto, CA 95355-2803 2014-06-23
1780015685 Richard Kendrick Radiology 1524 Mchenry Ave, Suite 235, Modesto, CA 95350-4500 2013-12-03
1912341710 Norcal Radiologists Inc Radiology 1421 Oakdale Rd, Modesto, CA 95355-3356 2013-04-23
1306106125 Dushyant Singh Thakur Radiology 600 Coffee Rd, Modesto, CA 95355-4201 2012-05-26
1427339134 Damian Caci Radiology 1401 Spanos Ct Ste 111, Modesto, CA 95355-2812 2011-09-08
1033400718 Nia Kimberly Sawyer Radiology 1524 Mchenry Ave, Suite 420 and 430, Modesto, CA 95350-4500 2011-04-28
1588954929 Modesto Radiology Imaging, Inc. Radiology 1524 Mchenry Ave, # 100, Modesto, CA 95350-4500 2011-04-19
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Office Location

Street Address 526 CHARITY WAY
City MODESTO
State CA
Zip Code 95356

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Competitor

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City MODESTO
Zip Code 95356

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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