Manny Moy (NPI# 1639162795, PAC ID# 4587700885) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1639162795 |
| PAC ID by PECOS | 4587700885 |
| Professional Enrollment ID | I20090929000642 |
| Full Name | Manny Moy |
| Organization Legal Name | NORTHWEST EXTREMITY SPECIALISTS LLC |
| Address |
6542 Se Lake Rd Suite 102 Milwaukie OR 97222-2245 |
| Phone Number | 5036596686 |
| Gender | M |
| Medical School | CALIFORNIA COLLEGE PODIATRIC MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 3577881747 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380082 | PROVIDENCE MILWAUKIE HOSPITAL |
| 380061 | PROVIDENCE PORTLAND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 6542 Se Lake Rd, Suite 102, Milwaukie, OR 97222-2245 | 5036596686 | NORTHWEST EXTREMITY SPECIALISTS LLC |
| Organization Legal Name | NORTHWEST EXTREMITY SPECIALISTS LLC |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mia Horvath | Podiatry | Northwest Extremity Specialists LLC | 9900 Sw Hall Blvd, Suite 100, Tigard, OR 97223-5843 |
| Patricia E Cain | Podiatry | Northwest Extremity Specialists LLC | 5493 Amy St, West Linn, OR 97068-3320 |
| Yama A Dehqanzada | Podiatry | Northwest Extremity Specialists LLC | 9900 Sw Hall Blvd, Suite 100, Tigard, OR 97223-5843 |
| Julie E Horowitz | Physical Therapy | Northwest Extremity Specialists LLC | 9900 Sw Hall Blvd, Suite 100, Tigard, OR 97223-5843 |
| Denny V Le | Podiatry | Northwest Extremity Specialists LLC | 9900 Sw Hall Blvd, Suite 100, Tigard, OR 97223-5843 |
| Lopa Dalmia | Podiatry | Northwest Extremity Specialists LLC | 5050 Ne Hoyt St, Suite 138, Portland, OR 97213-2955 |
| Peter D Pham | Podiatry | Northwest Extremity Specialists LLC | 5493 Amy St, West Linn, OR 97068-3320 |
| Thomas C Melillo | Podiatry | Northwest Extremity Specialists LLC | 9900 Sw Hall Blvd, Suite 100, Tigard, OR 97223-5843 |
| Todd L Galle | Podiatry | Northwest Extremity Specialists LLC | 9900 Sw Hall Blvd, Suite 100, Tigard, OR 97223-5843 |
| Jason R Surratt | Podiatry | Northwest Extremity Specialists LLC | 9900 Sw Hall Blvd, Suite 100, Tigard, OR 97223-5843 |
| Street Address |
6542 SE LAKE RD SUITE 102 |
| City | MILWAUKIE |
| State | OR |
| Zip | 97222-2245 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Akash Gupta | Orthopedic Surgery | 6542 Se Lake Rd, Suite 201, Milwaukie, OR 97222-2245 | |
| Matthew T Sugalski | Orthopedic Surgery | 6542 Se Lake Rd, Suite 201, Milwaukie, OR 97222-2138 | |
| Carl M Erickson | General Practice | 6542 Se Lake Rd, Suite 202, Milwaukie, OR 97222-2245 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian Sims | Chiropractic | Scsm Inc | 4370 Se King Rd, Suite 220, Milwaukie, OR 97222-1611 |
| Dokken H Ramey | Chiropractic | Scsm Inc | 4370 Se King Rd, Suite 220, Milwaukie, OR 97222-1611 |
| Tricia L Tollenaar | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates Northwest LLC | 6400 Se Lake Rd, Suite 130, Portland, OR 97222-2129 |
| David C Hatch | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates Northwest LLC | 6400 Se Lake Rd, Suite 130, Portland, OR 97222-2129 |
| Jill M Thomas | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates Northwest LLC | 6400 Se Lake Rd, Suite 130, Portland, OR 97222-2129 |
| Landon N Sessions | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates Northwest LLC | 6400 Se Lake Rd, Suite 130, Portland, OR 97222-2129 |
| Andrew J Gould | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates Northwest LLC | 6400 Se Lake Rd, Suite 130, Portland, OR 97222-2129 |
| Sarah L Landrey | Psychologist, Clinical | Cornerstone Clinical Services PC | 6400 Se Lake Rd, Suite 325, Milwaukie, OR 97222-2185 |
| Daniel B Combs | Psychologist, Clinical | Cornerstone Clinical Services PC | 6400 Se Lake Rd, Suite 325, Milwaukie, OR 97222-2185 |
| James C Putman | Psychologist, Clinical | Cornerstone Clinical Services PC | 6400 Se Lake Rd, Suite 325, Milwaukie, OR 97222-2185 |
| Find all physicians in zip 97222 | |||
| City | MILWAUKIE |
| Zip Code | 97222 |
| Specialty | PODIATRY |
| City + Specialty | MILWAUKIE + PODIATRY |
Please comment or provide details below to improve the information on Manny Moy.
| 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.