Individual provider Active NPI

Mollie O Manley, MD

  • Orthopaedic Hand Surgery Physician
  • Akron, OH
National Provider Identifier
1285800680
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
35.126454 Issued in OH
Practice address
3925 Embassy Pkwy Ste 200
Akron, OH 44333-8400
Phone
(330) 668-4055
Fax
(330) 668-4077
NPI assigned
May 6, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X 35.126454 OH Primary

Addresses

Primary practice location

3925 Embassy Pkwy Ste 200
Akron, OH 44333-8400

Mailing address

3925 Embassy Pkwy Ste 200
Akron, OH 44333-8400
Phone (330) 668-4040

Other identifiers 1

IdentifierTypeStateIssuer
0132246MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150708001325 OH Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 6204065386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Orthopedic Surgery
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crystal Clinic, Inc.Group PAC ID 7214821586, 46 clinicians

Practice addresses (Care Compare)

3925 Embassy Pkwy
Suite 300
Akron, OH 44333-1799
Phone (330) 668-4065

Hospital & facility affiliations

  • Crystal Clinic Orthopaedic Center Hospital, Akron, OH, CCN 360351

Merit-based Incentive Payment System (MIPS)

Final score
88.83 of 100Reported as group
Quality
83.94
Promoting interoperability
100
Improvement activities
40
Cost
78.82

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)29
Upper limb (arm) arthroscopy (minimally invasive joint repair)100
Melanoma (skin cancer) excision18
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.126454OHMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crystal Clinic Inc CurrentSince Aug 1, 2015 Accepting new patients
Crystal Clinic, Inc. Orthopaedic Surgery CurrentSince Aug 1, 2015 Accepting new patients
Crystal Clinic Orthopaedic Center, LLC Orthopaedic Surgery Past Accepting new patients

Locations

3975 Embassy Pkwy
Akron, OH 44333
Phone (330) 670-4242

3925 Embassy Pkwy
Ste 300
Akron, OH 44333
Phone (330) 668-4065

3975 Embassy Pkwy
Ste 202
Akron, OH 44333
Phone (330) 668-4085

437 Portage Trl
Cuyahoga Fls, OH 44221
Phone (330) 929-9136

3925 Embassy Pkwy
Ste 200
Fairlawn, OH 44333
Phone (330) 668-4055

1310 Corporate Dr
Hudson, OH 44236
Phone (330) 344-3030

2007 State Route 59
Kent, OH 44240
Phone (330) 673-1904

4975 Foote Rd
Ste 100
Medina, OH 44256

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1285800680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 EMBASSY PKWY STE 200",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443338400",
            "telephone_number": "330-668-4040",
            "fax_number": "330-668-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 EMBASSY PKWY STE 200",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443338400",
            "telephone_number": "330-668-4055",
            "fax_number": "330-668-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANLEY",
        "first_name": "MOLLIE",
        "middle_name": "O",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-06",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "OH",
            "license": "35.126454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0132246",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.