DR. MARK MUMFORD MALKUS (NPI# 1033286703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033286703 |
| Entity Type | Individual |
| Full Name | DR. MARK MUMFORD MALKUS |
| Credential | M.D. |
| Practice Address |
408 Byrn St Cambridge MD 21613-1910 |
| Practice Telephone | 4102281068 |
| Practice Fax Number | 4102286338 |
| Mailing Telephone | 4102281068 |
| Mailing Fax Number | 4102286338 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | D0050804 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
408 BYRN ST |
| City | CAMBRIDGE |
| State | MD |
| Zip Code | 21613-1910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063722171 | Blackwater Medical Associates, LLC | Specialist | 408 Byrn St, Cambridge, MD 21613-1910 | 2010-10-08 |
| 1508986092 | Blackwater Medical Associates, LLC | Family Medicine | 408 Byrn St, Cambridge, MD 21613-1910 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225427289 | A Better Alternative Nursing Avency, Inc | Nursing Care | 204 Cedar Street, Canbridge, MD 21613 | 2015-01-14 |
| 1497048524 | Christina Marie Drostin | Family Medicine | 503 A Muir Street, Cambridge, MD 21613 | 2011-05-23 |
| 1841589058 | Wal-mart Stores East Lp | Technician/Technologist | 2775 Dorchester Square, Cambridge, MD 21613 | 2011-03-29 |
| 1053624452 | Gina Exantus-bernard | Pediatrics | 400 Byrn St Ste A, Cambridge, MD 21613 | 2010-07-14 |
| 1235362872 | St of Md/dhmh Dorchester Co Health Dept | Public Health or Welfare | 2475 Cambridge Bypass, Cambridge, MD 21613 | 2009-08-31 |
| 1801916622 | Alisha Foxwell Saulsbury | Social Worker | 208 Cedar St, Cambridge, MD 21613 | 2007-03-29 |
| 1497890669 | Charles Edmund Connelly Jr. | Dentist | 406 Lecompte Street, Cambridge, MD 21613 | 2007-02-21 |
| 1114088192 | Delmarva Community Services Inc | Nursing Care | 6210 Shiloh Church Hurlock Rd, Hurlock, MD 21613 | 2006-12-13 |
| 1184782658 | Lesa M Lee | Social Worker | 403 Race Street, Cambridge, MD 21613 | 2006-12-05 |
| 1750455747 | Jenny Lynne Jarrell | Social Worker | 208 Cedar Street, Cambridge, MD 21613 | 2006-11-20 |
| Find all providers in zip 21613 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730645847 | Delphine Alignol | Family Medicine | 330 Mount St, Cambridge, MA 02135 | 2019-02-13 |
| 1356828586 | Occupational Medicine of Massachusetts, PC | Family Medicine | 8 Museum Way #1306, Cambridge, MA 02141 | 2018-07-20 |
| 1497048524 | Christina Marie Drostin | Family Medicine | 503 A Muir Street, Cambridge, MD 21613 | 2011-05-23 |
| 1427256635 | Kyong Park | Family Medicine | 360 Binney St, Cambridge, MA 02142-1011 | 2007-07-10 |
| 1396871984 | Stanley M Hochberg | Family Medicine | Med Ventive, 1 Kendall Sq Bldg 200, Cambridge, MA 02139 | 2007-02-26 |
| 1699848770 | Buckeye Medical Group | Family Medicine | 918 Woodlawn Ave, Cambridge, OH 43725-2949 | 2006-11-16 |
| 1942373170 | David W Ray LLC | Family Medicine | 61353 Southgate Rd Ste 6, Cambridge, OH 43725-6607 | 2006-11-16 |
| 1699845867 | Earl Edwin Conaway Jr. | Family Medicine | 1198 Clark St, Cambridge, OH 43725-1636 | 2006-11-08 |
| 1184702409 | Lennie J Deaver | Family Medicine | 309 Nelson St, Cambridge, NE 69022-3592 | 2006-11-02 |
| 1831286293 | Shiuvaun M. Jaeger | Family Medicine | 1305 Highway 6 34, Cambridge, NE 69022-6616 | 2006-10-06 |
| Find all providers in CAMBRIDGE | ||||
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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.