MICHAEL L MALONE (NPI# 1053469536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053469536 |
| Entity Type | Individual |
| Full Name | MICHAEL L MALONE |
| Credential | MD |
| Practice Address |
1020 N 12th St 3rd Floor Milwaukee WI 53233-1308 |
| Mailing Address |
13475 Commons Dr Brookfield WI 53005-3378 |
| Practice Telephone | 4142197300 |
| Mailing Telephone | 2627818921 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
26583-020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 31373200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972133346 | Michael William Malone II | Physician Assistant | 2372 Southside Rd, Lincolnton, NC 28092-9386 | 2020-01-24 |
| 1730651977 | Michael A Malone | Counselor | 1217 Springhealth Ct, St Augustine, FL 32092-2460 | 2018-12-28 |
| 1720568082 | Michael Malone | Physical Therapist | 1011 E Wintergreen Rd, Cedar Hill, TX 75104-1411 | 2018-08-16 |
| 1093953937 | Michael C Malone | Physical Therapist | 5160 Landing View Dr, Granite Falls, NC 28630-8750 | 2009-01-30 |
| 1073766291 | Michael Wayne Malone | Dentist | 800 North State Street, Rolla, MO 65401 | 2008-10-31 |
| 1518036912 | Michael T Malone IIi | Chiropractor | 437 Ne Main St, Estacada, OR 97023-8528 | 2006-11-07 |
| 1952480725 | Michael Patrick Malone | Counselor | 10632 Little Patuxent Pkwy Ste 310, Columbia, MD 21044-6263 | 2006-11-03 |
| 1164508263 | Michael Malone | Family Medicine | 5159 S. Ashland Ave, Chicago, IL 60609-5322 | 2006-10-31 |
| 1578679478 | Michael Daniel Malone | Marriage & Family Therapist | 4275 Lemon Street, Suite 205, Riverside, CA 92501 | 2006-08-22 |
| 1285671479 | Michael J Malone | Urology | 1 Lyons Street, Dedham Medical Associates, Dedham, MA 02026 | 2006-05-31 |
| Street Address |
1020 N 12TH ST 3RD FLOOR |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53233-1308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003882994 | Soryal A Soryal | Internal Medicine | 1020 N 12th St, 3rd Floor, Milwaukee, WI 53233-1308 | 2006-02-28 |
| 1114533478 | Rebecca Ann Biskup | Massage Therapist | 1020 N 12th St, Milwaukee, WI 53233-1308 | 2020-09-21 |
| 1215547369 | Kimberly Dee Chobanian Balash | Advanced Practice Midwife | 1020 N 12th St, Milwaukee, WI 53233-1308 | 2020-08-04 |
| 1073132387 | Marybeth M Hordyk | Social Worker | 1020 N 12th St, Milwaukee, WI 53233-1308 | 2020-04-16 |
| 1336774132 | Kari L Jensen | Social Worker | 1020 N 12th St, Milwaukee, WI 53233-1308 | 2020-03-12 |
| 1881232270 | Pamela Newbury-scheife | Nurse Practitioner | 1020 N 12th St, Milwaukee, WI 53233-1308 | 2019-12-16 |
| 1093360380 | Keith C Rindahl | Nurse Practitioner | 1020 N 12th St, Milwaukee, WI 53233-1308 | 2019-08-05 |
| 1780153387 | Ashanti Dean | Advanced Practice Midwife | 1020 N 12th St, Milwaukee, WI 53233-1308 | 2018-11-13 |
| 1295229037 | Emilie I Franchow | Psychologist | 1020 N 12th St, Milwaukee, WI 53233-1308 | 2018-06-15 |
| 1447757596 | Traci J Hempler | Counselor | 1020 N 12th St, Milwaukee, WI 53233-1308 | 2018-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104454750 | Henok Desta Hardilo | Student in an Organized Health Care Education/Training Program | Aurora Sinai Medical Center 945 N 12th Street, Milwaukee, WI 53233 | 2020-03-30 |
| 1821633314 | Ann E Millard | Occupational Therapist | 560 N. 16th Street, Room 214a, Milwaukee, WI 53233 | 2019-11-08 |
| 1306480918 | Teng Kai Ong | Dentist | 1801 West Wisconsin Ave., Milwaukee, WI 53233 | 2019-11-06 |
| 1356800478 | Nebiyu Abera Tilahun | Student in an Organized Health Care Education/Training Program | Aurora Sinai Medical Center, 945 N. 12th Street, Milwaukee, WI 53233 | 2019-03-18 |
| 1548748387 | Emily Claire Goetz | Physical Therapist | 945 N. 12th St. Suite 1100, Milwaukee, WI 53233 | 2018-08-03 |
| 1801373378 | Froedtert & The Medical College of Wisconsin Community Physicians | Non-Pharmacy Dispensing Site | 1721 W Canal St, Milwaukee, WI 53233 | 2018-07-26 |
| 1184170706 | Lauren Troll | Physical Therapist | 925 N 12th Street, Milwaukee, WI 53233 | 2016-09-01 |
| 1942694401 | Iryna Nemesh | Internal Medicine | 1020 N 12th St Fl 2, Milwaukee, WI 53233 | 2015-03-23 |
| 1649676032 | Matina Angelopoulou | Dentist | 1801 West Winsconsin Ave, Milwaukee, WI 53233 | 2014-11-12 |
| 1780007831 | John Ladisa | Technician, Other | 1637 W. Wisconsin Ave, Room 311, Milwaukee, WI 53233 | 2014-01-27 |
| Find all providers in zip 53233 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003882994 | Soryal A Soryal | Internal Medicine | 1020 N 12th St, 3rd Floor, Milwaukee, WI 53233-1308 | 2006-02-28 |
| 1720407893 | Cara Coughlin O'brien | Internal Medicine | 9200 W Wisconsin Ave, Milwaukee, WI 53226 | 2014-04-15 |
| 1063839397 | Elizabeth Ann Bukowy | Internal Medicine | 9200 W Wisconsin Ave, Specialty Clinics Building, 4th Floor, Milwaukee, WI 53226-3522 | 2014-03-25 |
| 1275890568 | Laura Ann Previll | Internal Medicine | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2012-04-12 |
| 1518261510 | Zaw Moe Aung | Internal Medicine | 8520 W Oklahoma Ave, Milwaukee, WI 53227-4604 | 2011-01-05 |
| 1972762979 | Alina M Petculescu | Internal Medicine | 8520 W Oklahoma Ave, Milwaukee, WI 53227-4604 | 2008-06-04 |
| 1205991254 | Tyler H Steward | Internal Medicine | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2006-12-27 |
| 1144310475 | Kalluru Vijayabhanu | Internal Medicine | 5228 W Fond Du Lac Ave, Milwaukee, WI 53216 | 2006-10-16 |
| 1861582215 | Marilyn J Sincaban | Internal Medicine | 1555 S Layton Blvd, Milwaukee, WI 53215-1924 | 2006-10-14 |
| 1154421865 | Richard P Thiede | Internal Medicine | 2323 N Lake Dr, Milwaukee, WI 53211-4508 | 2006-09-23 |
| Find all providers in MILWAUKEE | ||||
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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.