Active NPI
Michael Joseph Mooney, MD
- Surgery Physician
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 043433
- Practice address
- 2211 E Mill Plain Blvd
Vancouver, WA 98661-4329 - Phone
- (360) 619-4270
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 043433 | GA | Primary |
Addresses
Primary practice location
2211 E Mill Plain Blvd
Vancouver, WA 98661-4329
Mailing address
2211 E Mill Plain Blvd
Vancouver, WA 98661-4329
Phone (360) 619-4270
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, WA, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- R Franklin University of Med & Sci/Chicago Medical School, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10100 SE Sunnyside Rd
Clackamas, OR 97015-8970
Phone (800) 813-2000
10180 SE Sunnyside Rd
Clackamas, OR 97015-8970
Phone (800) 813-2000
2875 NE Stucki Ave
Hillsboro, OR 97124-5806
Phone (800) 813-2000
Hospital & facility affiliations
- Kaiser Foundation Hospital Westside
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043433 | GA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Southeast Permanente Medical Group | Surgery | Current | Accepting new patients |
| Silverton Health | Current | Accepting new patients | |
| Silverton Health | Current | Accepting new patients | |
| Silverton Health | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Surgery | Current | Accepting new patients |
Locations
3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000
7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051
347 Fairview St
Silverton, OR 97381
Phone (503) 873-5667
342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660
1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801
7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000
Organizations & group practices 6
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.
-
- General Practice Physician
- Portland, OR
- NPI 1184786527
WA
-
- General Acute Care Hospital
- Silverton, OR
- NPI 1669424354
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1245266956
Surgery
-
- General Practice Physician
- Portland, OR
- NPI 1871848457
Surgery
-
- Clinic/Center
- Keizer, OR
- NPI 1508294513
-
- Clinic/Center
- Molalla, OR
- NPI 1861116055
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hillsboro, OR
- NPI 1891048807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354579200000",
"number": "1609985647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2211 E MILL PLAIN BLVD",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986614329",
"telephone_number": "360-619-4270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 E MILL PLAIN BLVD",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986614329",
"telephone_number": "360-619-4270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOONEY",
"first_name": "MICHAEL",
"middle_name": "JOSEPH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2012-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "GA",
"license": "043433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.