Michelle Gordon-canning
SUTTER BAY MEDICAL FOUNDATION


Address: 795 El Camino Real, Palo Alto, CA 94301-2302
Phone: 4156001020

Michelle Gordon-canning (NPI# 1184637654, PAC ID# 8426035874) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.

Physician Overview

Nation Provider ID (NPI) 1184637654
PAC ID by PECOS 8426035874
Professional Enrollment ID I20050922000360
Full Name Michelle Gordon-canning
Organization Legal Name SUTTER BAY MEDICAL FOUNDATION
Address 795 El Camino Real
Palo Alto
CA 94301-2302
Phone Number 4156001020
Gender F
Credential PA
Graduation Year 1997
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 4284538778
Number of Group Practice Members 2620
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050043 ALTA BATES SUMMIT MEDICAL CENTER

Other Locations

Address Phone Organization
3200 Kearney St, Fremont, CA 94538-2299 5104901222 SUTTER BAY MEDICAL FOUNDATION
350 30th St, Suite 411, Oakland, CA 94609-3425 5102048383 SUTTER BAY MEDICAL FOUNDATION
350 Hawthorne Ave, Oakland, CA 94609-3108 SUTTER BAY MEDICAL FOUNDATION
350 Hawthorne Ave, Rm 2346, Oakland, CA 94609-3108 5108696883 SUTTER BAY MEDICAL FOUNDATION
795 El Camino Real, Palo Alto, CA 94301-2302 4156001020 SUTTER BAY MEDICAL FOUNDATION

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 33%
MIPS_EC_154_overall Falls: Risk Assessment 59%
MIPS_EC_155_overall Falls: Plan of Care 16%

Organization Information

Organization Legal Name SUTTER BAY MEDICAL FOUNDATION
Physicians 2773

Physicians with the same organization

Name Specialty Organization Address
Gabriela Ramos-pamplona Nurse Practitioner Sutter Bay Medical Foundation 2095 Diamond Blvd, Suite 150, Concord, CA 94520-5832
Ja Young Kim Nurse Practitioner Sutter Bay Medical Foundation 15400 Los Gatos Blvd, Los Gatos, CA 95032-2502
Gannon Dudlar Emergency Medicine Sutter Bay Medical Foundation 701 E El Camino Real, Mountain View, CA 94040-2833
Teresa Safer Obstetrics/gynecology Sutter Bay Medical Foundation 1580 Valencia St, Suite 802, San Francisco, CA 94110-4415
Aly M Mohamed Gastroenterology Sutter Bay Medical Foundation 1662 Dominican Way, Santa Cruz, CA 95065-1522
Inxs M Chandler Nurse Practitioner Sutter Bay Medical Foundation 580 N Rengstorff Ave, Unit 5, Mountain View, CA 94043-2894
Elsa Petronella Van Berry Nurse Practitioner Sutter Bay Medical Foundation 3100 Summit St, Fl 2, Oakland, CA 94609-3412
Joshua D Menefee Internal Medicine Sutter Bay Medical Foundation 7225 Rainbow Dr, San Jose, CA 95129-4552
Nicole Sue Gong Physical Therapy Sutter Bay Medical Foundation 1085 W El Camino Real, Sunnyvale, CA 94087-1030
Melanie Manaku Internal Medicine Sutter Bay Medical Foundation 350 Rhode Island St, Suite 200, San Francisco, CA 94103-5188

Office Location

Street Address 795 EL CAMINO REAL
City PALO ALTO
State CA
Zip 94301-2302

Physicians in the same location

Name Specialty Organization Address
Winona M Tan Obstetrics/gynecology Sutter Bay Medical Foundation 795 El Camino Real, Palo Alto, CA 94301-2302
Nicole Rose Sudduth Internal Medicine Sutter Bay Medical Foundation 795 El Camino Real, Palo Alto, CA 94301-2302
Sherry Huang Family Medicine Sutter Bay Medical Foundation 795 El Camino Real, Palo Alto, CA 94301-2302
Susan T Butler Dermatology Sutter Bay Medical Foundation 795 El Camino Real, Palo Alto, CA 94301-2302
Ryan A Mcconnell Gastroenterology Sutter Bay Medical Foundation 795 El Camino Real, Palo Alto, CA 94301-2302
Whitney E Landa Psychiatry Sutter Bay Medical Foundation 795 El Camino Real, Palo Alto, CA 94301-2302
Christian Laparan Nurse Practitioner Sutter Bay Medical Foundation 795 El Camino Real, Palo Alto, CA 94301-2302
Timothy W Allari Internal Medicine Sutter Bay Medical Foundation 795 El Camino Real, Palo Alto, CA 94301-2302
Grace W Chan Endocrinology Sutter Bay Medical Foundation 795 El Camino Real, Palo Alto, CA 94301-2302
Christopher R Cartwright Anesthesiology Sutter Bay Medical Foundation 795 El Camino Real, Palo Alto, CA 94301-2302
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Susan L Edelman Psychiatry 451 Lytton Ave, Palo Alto, CA 94301-1535
Lewis Sandy Margolis Anesthesiology 153 Forest Ave, Palo Alto, CA 94301-1615
Patricia Kiser Chiropractic 540 Bryant St, Palo Alto, CA 94301-1742
Richard David Lee Family Medicine 605 Cowper St, Palo Alto, CA 94301-1808
Erica Wu Optometry 479 University Ave, Palo Alto, CA 94301-1814
Kathleen J Mcconnell Clinical Social Worker 467 Hamilton Ave, Suite 4, Palo Alto, CA 94301-1828
Joseph F Most Optometry 540 University Ave, Suite 110, Palo Alto, CA 94301-1912
Marlyna Rosella Stewart Clinical Social Worker 518 Byron St, Palo Alto, CA 94301-2006
Anders C Greenwood Psychologist, Clinical 550 Hamilton Ave, Suite 306, Palo Alto, CA 94301-2031
Renate Trittelvitz Psychiatry 550 Hamilton Ave, Suite 304, Palo Alto, CA 94301-2031
Find all physicians in zip 94301

Competitor

Search similar physicians

City PALO ALTO
Zip Code 94301
Specialty PHYSICIAN ASSISTANT
City + Specialty PALO ALTO + PHYSICIAN ASSISTANT

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Dataset Information

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.

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