Philip Alway, DPM
Individual provider Active NPI Podiatrist · Eureka, CA
NPI 1427087287 · NPPES record last updated Aug 14, 2012
Key facts
- NPI
- 1427087287
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Podiatrist 213E00000X
- License
- E4372 (CA)
- Practice address
- 3258 Timber Fall CT
Eureka, CA 95503-4888 - Phone
- (707) 441-1112
- Fax
- (707) 441-1711
- NPI assigned
- Jul 2, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- California School of Podiatric Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Redwood Podiatry Group Inc
Practice addresses (Care Compare)
3258 Timber Fall CT
Eureka, CA 95503-4888
Phone (707) 441-1112
Hospital & facility affiliations
- Mad River Community Hospital
- Providence St Joseph Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 543 |
| Removal of skin lesions | 29 |
| Removal of nail tissue | 121 |
| Removal or shaving of skin growth | 14 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100205000190 | CA | Practitioner - Podiatry | 5698817708 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E4372 | CA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redwood Podiatry Group Inc | Current |
Accepting new patients | |
| Redwood Podiatry Group | Podiatrist | Past | Accepting new patients |
Locations
3258 Timber Fall Ct
Eureka, CA 95503
Phone (707) 441-1112
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E4372 | CA | Yes |
Addresses
Primary practice location
3258 Timber Fall CT
Eureka, CA 95503-4888
Mailing address
3258 Timber Fall CT
Eureka, CA 95503-4888
Phone (707) 441-1112
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639465206 | Medicaid | CA |
Other providers in Eureka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.