Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

McHenry Medical Group Inc

Organization Dermatology Physician · NPI 1205859154

McHenry Medical Group Inc is a Dermatology Physician in Modesto, California. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
6
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1541 Florida Ave Ste 200
Modesto, CA 95350
Phone: (209) 577-3388
Fax: (209) 342-3743
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Dermatology Physician Taxonomy 207N00000X
Gastroenterology Physician Taxonomy 207RG0100X
Surgery Physician Taxonomy 208600000X
Urology Physician Taxonomy 208800000X
Pediatric Urology Physician Taxonomy 2088P0231X

Record details

NPI number1205859154
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Harris Goodman — Chair Executive Committee · (209) 577-3388
NPI enumeratedJuly 25, 2006
Last updated in NPPESJanuary 18, 2008
Mailing address1541 Florida Avenue, Suite 200, Modesto, CA 95350

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