DR. KEVIN PAUL MALONE (NPI# 1003082488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003082488 |
| Entity Type | Individual |
| Full Name | DR. KEVIN PAUL MALONE |
| Credential | D.P.M. |
| Practice Address |
1715 E 95th St Chicago IL 60617-4708 |
| Practice Telephone | 7737684437 |
| Practice Fax Number | 7735643515 |
| Mailing Telephone | 7737684437 |
| Mailing Fax Number | 7735643515 |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2019-02-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 016005462 | IL | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578668075 | Kevin C Malone | Physical Therapist | 23745 225th Way Se, Suite 215, Maple Valley, WA 98038-5294 | 2006-09-13 |
| 1659397685 | Kevin John Malone | Chiropractor | 123e F St H, Wilmington, CA 90744-5817 | 2006-07-14 |
| 1851623128 | Kevin Malone | Pharmacist | 20 Merrick Rd, Amityville, NY 11701-3455 | 2010-02-11 |
| 1164668992 | Kevin Malone | Case Manager/Care Coordinator | 2650 W Broadway, Louisville, KY 40211-1333 | 2008-12-29 |
| 1336330125 | Kevin Darrell Malone | Chiropractor | 502 W Main St, Smithville, TN 37166-1118 | 2007-08-06 |
| 1881794691 | Kevin James Malone | Orthopaedic Surgery | 2500 Metrohealth Dr, Department of Orthopaedic Surgery, Cleveland, OH 44109-1900 | 2006-09-22 |
| 1154331411 | Kevin D Malone | Surgery | 1104 W Evergreen Ave, Effingham, IL 62401-1710 | 2006-08-09 |
| 1578502241 | Kevin Michael Malone | Anesthesiology | 700 Melvin Ave, Suite 7a, Annapolis, MD 21401-1514 | 2006-06-06 |
| 1285691204 | Kevin Malone | Orthopaedic Surgery | 10 Research Pl, Suite 203, North Chelmsford, MA 01863-2439 | 2006-04-26 |
| 1053389361 | Kevin Anthony Malone | Family Medicine | 1415 Ridgeback Rd, Suite # 4, Chula Vista, CA 91910-6932 | 2006-03-10 |
| Street Address |
1715 E 95TH ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60617-4708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537790 | Emily Leos | Nurse Practitioner | 1715 E 95th St, Chicago, IL 60617-4708 | 2020-10-26 |
| 1063071819 | Abiodun Josephine Atomori | Nurse Practitioner | 1715 E 95th St, Chicago, IL 60617-4708 | 2019-06-06 |
| 1841777687 | Kathryn Allen | Physician Assistant | 1715 E 95th St, Chicago, IL 60617-4708 | 2018-07-24 |
| 1205340080 | Erica Minnion-klyce | Nurse Practitioner | 1715 E 95th St, Chicago, IL 60617-4708 | 2017-12-01 |
| 1790297562 | Kristina Byrd | Social Worker | 1715 E 95th St, Chicago, IL 60617-4708 | 2017-11-01 |
| 1114463049 | Dymond Long | Nurse Practitioner | 1715 E 95th St, Chicago, IL 60617 | 2017-01-17 |
| 1063897155 | Nnebuife Nkem Johnson | Nurse Practitioner | 1715 E 95th St, Chicago, IL 60617-4708 | 2015-07-30 |
| 1770977662 | Kevin Stephens Jr. | Family Medicine | 1715 E 95th St, Chicago, IL 60617-4708 | 2015-03-27 |
| 1588076699 | D2 Dental At Oak Street, P.C. | Dentist | 1715 E 95th St, Chicago, IL 60617-4708 | 2014-05-22 |
| 1508120783 | Michelle Morrison | Family Medicine | 1715 E 95th St, Chicago, IL 60617-4708 | 2012-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102921 | Manuel Lule | Physical Therapy Assistant | 9535 S Jeffery Boulevard, Chicago, IL 60617 | 2020-07-24 |
| 1083253546 | Vanaja Thotten | Internal Medicine | 8012 S.crandon Ave, Chicago, IL 60617 | 2020-01-02 |
| 1427527365 | Stony Island Dental PC | Dentist | 1600 E 93rd Street, Chicago, IL 60617 | 2018-11-21 |
| 1871060301 | Tamika Nicole Whitehead | Social Worker | 2822 East 83rd Street, Chicago, IL 60617 | 2018-11-02 |
| 1528543774 | Felicia Nwankwo | Nurse Practitioner | 2822 E 83rd Street Bradond Famiy Health Cener, Chicago, IL 60617 | 2018-10-03 |
| 1972099307 | David Phan | Optometrist | 1753 E 95th St Ste B-100, Chicago, IL 60617 | 2018-07-09 |
| 1831607340 | Pamela Evette Ewing | Counselor | 9145 S. Merrill Ave, Chicago, IL 60617 | 2018-01-18 |
| 1366976631 | Ali Mostafa Serhal | Radiology | 240 E. Huron St, Suite 1-203, Chicago, IL 60617 | 2017-04-13 |
| 1447784921 | 1915-25 95th St., LLC | Clinic/Center | 1915 E 95th St, Chicago, IL 60617 | 2017-04-12 |
| 1881140408 | Yeferson Laverde | Social Worker | 3062 East 31st, Chicago, IL 60617 | 2016-09-01 |
| Find all providers in zip 60617 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114533700 | Podiatric Management Systems LLC | Podiatrist | 537 W 31st St, Chicago, IL 60616-3294 | 2020-09-18 |
| 1679187090 | Podiatric Management Systems LLC | Podiatrist | 5600 W Addison St Lowr 2ll, Chicago, IL 60634-4499 | 2020-09-02 |
| 1932742848 | Foot and Ankle Care & Associates, Ltd | Podiatrist | 3320 W 63rd St, Chicago, IL 60629-3317 | 2019-10-23 |
| 1437622966 | Tomasz Szmyd Dpm, PC | Podiatrist | 1500 E 67th St, Chicago, IL 60637-4427 | 2019-01-08 |
| 1548746761 | Jeremy Marchand | Podiatrist | 2751 W Winona St Rm Ap457, Chicago, IL 60625-2508 | 2018-07-11 |
| 1770004814 | Andrew Alward | Podiatrist | 2027 W Division St # 180, Chicago, IL 60622-9024 | 2017-06-28 |
| 1043730625 | Mary Elizabeth Hickner | Podiatrist | 2751 W Winona St Apt 457, Chicago, IL 60625-2508 | 2017-06-23 |
| 1225489172 | Alison Dawn Traffanstedt Young | Podiatrist | 30 N Michigan Ave Ste 1129, Chicago, IL 60602-3478 | 2016-06-22 |
| 1922454131 | Mary Cobb | Podiatrist | 1428 E 69th St, Chicago, IL 60637-4804 | 2016-05-05 |
| 1407233760 | Aaron Raestas | Podiatrist | 730 S Dearborn St # T, Chicago, IL 60605-1838 | 2015-05-06 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.