Pulla Reddy (NPI# 1437167962, PAC ID# 3870577497) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1437167962 |
| PAC ID by PECOS | 3870577497 |
| Professional Enrollment ID | I20051114000999 |
| Full Name | Pulla Reddy |
| Organization Legal Name | LEGACY CLINICS LLC |
| Address |
19250 Sw 65th Ave Tualatin OR 97062-7452 |
| Phone Number | 5034137162 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1987 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 0244144004 |
| Number of Group Practice Members | 466 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380007 | LEGACY EMANUEL MEDICAL CENTER |
| 380025 | LEGACY MOUNT HOOD MEDICAL CENTER |
| 381325 | GOOD SHEPHERD MEDICAL CENTER |
| 500150 | LEGACY SALMON CREEK HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 24800 Se Stark St, Portland, OR 97030-3399 | 5036619150 | LEGACY MOUNT HOOD MEDICAL CENTER |
| 2801 N Gantenbein Ave, Portland, OR 97227-1623 | 5034132042 | LEGACY EMANUEL HOSPITAL AND HEALTH CENTER |
| 19250 Sw 65th Ave, Tualatin, OR 97062-7452 | 5034137162 | LEGACY CLINICS LLC |
| 19300 Sw 65th Ave, Tualatin, OR 97062-7706 | 5036922500 | LEGACY MERIDIAN PARK HOSPITAL |
| Organization Legal Name | LEGACY CLINICS LLC |
| Physicians | 495 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elana Underwood Scharff | Nurse Practitioner | Legacy Clinics LLC | 25050 Se Stark St, Suite 265, Gresham, OR 97030-3388 |
| Jonathan Parker | Physician Assistant | Legacy Clinics LLC | 2870 Sw Cedar Hills Blvd, Beaverton, OR 97005-1354 |
| Patricia Funk | Internal Medicine | Legacy Clinics LLC | 19300 Sw 65th Ave, Meridian Park Hosp, Portland, OR 97062-7706 |
| Eric Austin Jordan Nash | Nurse Practitioner | Legacy Clinics LLC | 3425 Se 192nd Ave, Suite 106, Vancouver, WA 98683-1440 |
| Amany Bashir | Family Medicine | Legacy Clinics LLC | 8329 Sw Bverton Hills Hwy, Portland, OR 97225-2215 |
| Gayle L Shears | Physician Assistant | Legacy Clinics LLC | 3 Monroe Pkwy, Suite X, Lake Oswego, OR 97035-8875 |
| Theresa Rene Jones | Physician Assistant | Legacy Clinics LLC | 22262 Ne Glisan St, Gresham, OR 97030-8553 |
| Sean Robert Schulz | Family Medicine | Legacy Clinics LLC | 36860 Industrial Way, Sandy, OR 97055-7371 |
| Lucas J Martin | Physician Assistant | Legacy Clinics LLC | 305 Se Chkalov Dr, Suite 170, Vancouver, WA 98683-5292 |
| Aaron W Spaugy | Internal Medicine | Legacy Clinics LLC | 1015 Nw22nd Ave, Suite 34, Portland, OR 97210-3025 |
| Street Address |
19250 SW 65TH AVE |
| City | TUALATIN |
| State | OR |
| Zip | 97062-7452 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jin Hee Kim | Urology | Oregon Clinic PC | 19250 Sw 65th Ave, Tualatin, OR 97062-7745 |
| Gregory Alan Cost | Urology | Oregon Clinic PC | 19250 Sw 65th Ave, Tualatin, OR 97062-7745 |
| John Thomas Forsythe | Internal Medicine | Cascade Physicians PC | 19250 Sw 65th Ave, Suite 110, Tualatin, OR 97062-7707 |
| Jeffrey H Garrett | Optometry | Oregon Eye Specialists, PC | 19250 Sw 65th Ave, Suite 215, Tualatin, OR 97062-7707 |
| Suzanne L Migchelbrink | Internal Medicine | Cascade Physicians PC | 19250 Sw 65th Ave, Suite 110, Tualatin, OR 97062-7707 |
| Gary A Burgoine | Obstetrics/gynecology | Women's Healthcare Associates LLC | 19250 Sw 65th Ave, Suite 325, Tualatin, OR 97062-7452 |
| Lori L. Goranson | Obstetrics/gynecology | Women's Healthcare Associates LLC | 19250 Sw 65th Ave, Suite 300, Tualatin, OR 97062-7707 |
| Ashley Ann Chan | Nurse Practitioner | Cascade Physicians PC | 19250 Sw 65th Ave, Suite 110, Tualatin, OR 97062-7707 |
| Carole L Dennison | Nurse Practitioner | Women's Healthcare Associates LLC | 19250 Sw 65th Ave, Suite 325, Tualatin, OR 97062-7452 |
| Maryam Hadiashar | Obstetrics/gynecology | Women's Healthcare Associates LLC | 19250 Sw 65th Ave, Suite 325, Tualatin, OR 97062-7452 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin Wung Hong Yee | Hematology/oncology | University Professional Services | 19260 Sw 65th Ave, Suite 140, Tualatin, OR 97062-5703 |
| Lisa M Cowan | Physician Assistant | Pacific Spine Specialists, LLC | 19260 Sw 65th Ave, Suite 270, Tualatin, OR 97062-5705 |
| Darin J Steblaj | Physician Assistant | Pacific Spine Specialists, LLC | 19260 Sw 65th Ave, Suite 270, Tualatin, OR 97062-5705 |
| Timothy L Keenen | Orthopedic Surgery | Pacific Spine Specialists, LLC | 19260 Sw 65th Ave, Suite 270, Tualatin, OR 97062-5705 |
| Nicole Celeste Foster | Physician Assistant | Legacy Clinics LLC | 19260 Sw 65th Ave, Suite 280, Tualatin, OR 97062-5708 |
| Ruchi J Wanchoo | Neurology | Legacy Clinics LLC | 19260 Sw 65th Ave, Suite 280, Tualatin, OR 97062-5708 |
| Charlotte A Haws | Physician Assistant | Legacy Clinics LLC | 19260 Sw 65th Ave, Suite 400, Tualatin, OR 97062-5712 |
| Arielle E Radelet | Physician Assistant | Legacy Clinics LLC | 19260 Sw 65th Ave, Suite 400, Tualatin, OR 97062-5712 |
| Dale G Campbell | Clinical Social Worker | 22100 Sw Grahams Ferry Rd, Tualatin, OR 97062-6993 | |
| Clayton Michael Smiley | Nephrology | Northwest Renal Clinic Inc | 8050 Sw Warm Springs St, Suite 150, Tualatin, OR 97062-7422 |
| Find all physicians in zip 97062 | |||
| City | TUALATIN |
| Zip Code | 97062 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | TUALATIN + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Pulla Reddy.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.