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Harris Michael Goodman, MD
Trauma Surgery Physician in Modesto, California
NPI 1215925771

Harris Michael Goodman is a Trauma Surgery Physician based in Modesto, CA and is specialized in Trauma Surgery. Harris Michael Goodman practices in Modesto, CA and has the professional credentials of MD. The NPI Number for Harris Michael Goodman is 1215925771 and holds a License No. G19278 (California).

The current practice location address for Harris Michael Goodman is 1541 Florida Ave, Modesto, CA and can be reached out via phone at 209-577-3388 and via fax at 209-523-0764.

Location: 1541 Florida Ave, Modesto, CA, 95350-4429
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215925771
Provider Name
Harris Michael Goodman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1541 Florida Ave, Modesto, CA, 95350-4429
Phone Number
209-577-3388
Fax Number
209-523-0764
Provider Enumeration Date
10/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CD169Z 01 CA INDIVIDUAL PTAN - MEDICARE
ZZZ48224Z 01 CA MEDICARE IDENTIFICATION #
020018719 01 CA RAILROAD MEDICARE
CD069A 01 CA GROUP PTAN- MEDICARE
institution
Provider Business Practice Location Address Details
Address
1541 Florida Ave
City
Modesto
State
California
Zip
95350-4429
Phone Number
209-577-3388
Fax Number
209-523-0764
person
Provider Business Mailing Address Details
Address
1541 Florida Ave
City
Modesto
State
California
Zip
95350-4429
Phone Number
209-577-3388
Fax Number
209-523-0764
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
-
Taxonomy
208600000X
License No.
G19278 (California)
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Trauma Surgery
Taxonomy
2086S0127X
License No.
G19278 (California)
Definition
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
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