Individual provider Active NPI

Tiffany Alway, DPM

  • Podiatrist
  • Eureka, CA
National Provider Identifier
1740229277
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E4464 Issued in CA
Practice address
3258 Timber Fall CT
Eureka, CA 95503-4888
Phone
(707) 441-1112
Fax
(707) 441-1711
NPI assigned
Jun 6, 2006
Last updated
Aug 14, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E4464 CA Primary

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 1

IdentifierTypeStateIssuer
1639465206MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040216001174 CA Practitioner - Podiatry 4082509443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Redwood Podiatry Group IncGroup PAC ID 7416115670, 3 clinicians

Practice addresses (Care Compare)

3258 Timber Fall CT
Eureka, CA 95503-4888
Phone (707) 441-1112

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue29
Removal of skin lesions78
Removal of nail tissue601
Removal or shaving of skin growth273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4464CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Redwood Podiatry Group Inc CurrentSince Jan 3, 2011 Accepting new patients
Mad River Community Anesthesia Medical Group Past Accepting new patients
Redwood Podiatry Group Podiatrist PastSince Dec 24, 2011 Accepting new patients

Locations

3258 Timber Fall Ct
Eureka, CA 95503
Phone (707) 441-1112

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1740229277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3258 TIMBER FALL CT",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955034888",
            "telephone_number": "707-441-1112",
            "fax_number": "707-441-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3258 TIMBER FALL CT",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955034888",
            "telephone_number": "707-441-1112",
            "fax_number": "707-441-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALWAY",
        "first_name": "TIFFANY",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E4464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639465206",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

Verify at the official NPI Registry.