DR. SUZANNE M MALIS (NPI# 1083621429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083621429 |
| Entity Type | Individual |
| Full Name | DR. SUZANNE M MALIS |
| Credential | MD |
| Practice Address |
2322 S Academy Blvd Colorado Springs CO 80916-2406 |
| Mailing Address |
4024 San Felice Pt Colorado Springs CO 80906-5900 |
| Practice Telephone | 7193901727 |
| Practice Fax Number | 7193909690 |
| Mailing Telephone | 7193901727 |
| Mailing Fax Number | 7193909690 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 41881 | CO | Allopathic & Osteopathic Physicians |
| Street Address |
2322 S ACADEMY BLVD |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80916-2406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801405899 | William Paul Birch | Clinic/Center | 2322 S Academy Blvd, Colorado Springs, CO 80916-2406 | 2020-07-27 |
| 1891338646 | Alexander Nicholas Jenik | Physician Assistant | 2322 S Academy Blvd, Colorado Springs, CO 80916-2406 | 2019-10-24 |
| 1902395866 | Tianna Terese Voros | Physician Assistant | 2322 S Academy Blvd, Colorado Springs, CO 80916-2406 | 2018-05-07 |
| 1770728867 | Kyle Matthew Volkert | Physical Therapist | 2322 S Academy Blvd, Colorado Springs, CO 80916-2406 | 2008-12-03 |
| 1144340498 | Ryan K Stallings | Family Medicine | 2322 S Academy Blvd, Colorado Springs, CO 80916-2406 | 2007-03-30 |
| 1861518110 | Bradley T Metts | Physical Therapist | 2322 S Academy Blvd, Colorado Springs, CO 80916-2406 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740742022 | Andrea Corrie Akins | Counselor | 2060 Jet Wing Drive, Colorado Springs, CO 80916 | 2019-04-04 |
| 1538687454 | Loma Randie Haak | Doula | 2160 Bruno Cir, Colorado Springs, CO 80916 | 2017-08-30 |
| 1013463868 | Statewide Healthcare LLC | In Home Supportive Care | 2130 S. Academy Blvd., #103, Colorado Springs, CO 80916 | 2016-08-31 |
| 1437573557 | Carla Jackson | Contractor | 3410 Cochran Dr # C, Colorado Springs, CO 80916 | 2014-02-10 |
| 1346385986 | Occupational Health Centers of The Southwest Pa PC | Clinic/Center | 2322 S. Academy Blvd., Colorado Springs, CO 80916 | 2007-02-21 |
| 1457379893 | Charlene Kay Czarnecki | Nurse Practitioner | 3029 So Academy Blvd, Colorodo Springs, CO 80916 | 2006-07-17 |
| 1952337206 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 2910 S Academy Blvd, Colorado Springs, CO 80916 | 2006-06-25 |
| 1629599758 | Amanda M Bernheim | Counselor | 1795 Jet Wing Dr, Colorado Springs, CO 80916 | 2017-06-28 |
| 1710366166 | Cassandra Bright | Dental Hygienist | 5925 Lehman Dr, Colorado Springs, CO 80916 | 2015-05-19 |
| 1992042626 | Erica Palmer | Psychologist | 1795 Jet Wing Dr, Colorado Springs, CO 80916 | 2013-01-15 |
| Find all providers in zip 80916 | ||||
| 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 |
|---|---|---|---|---|
| 1285256818 | Summit Primary Care | Family Medicine | 75 Printers Pkwy Ste 200, Colorado Springs, CO 80910-3142 | 2020-05-18 |
| 1902437874 | Optumcare Colorado Springs, LLC | Family Medicine | 3470 Centennial Blvd Ste 210, Colorado Springs, CO 80907-4090 | 2020-01-30 |
| 1487285383 | Optumcare Colorado Springs, LLC | Family Medicine | 3470 Centennial Blvd Ste 215, Colorado Springs, CO 80907-4090 | 2020-01-29 |
| 1568093847 | Optumcare Colorado Springs, LLC | Family Medicine | 3470 Centennial Blvd Ste 205, Colorado Springs, CO 80907-8669 | 2020-01-27 |
| 1699319590 | Front Range Urgent Care, PC | Family Medicine | 6530 S Academy Blvd Ste 105, Colorado Springs, CO 80906-8635 | 2019-11-04 |
| 1669014593 | Neida L. Blondet | Family Medicine | 1380 N Fillmore St, Suite 100, Colorado Springs, CO 80907-6464 | 2019-10-11 |
| 1952942526 | Choondai Asha Ramlall | Family Medicine | 2342 Spring Blossom Dr, Colorado Springs, CO 80910-8106 | 2019-10-03 |
| 1710427174 | Vitality Aesthetics Pllc | Family Medicine | 7680 Goddard St, Suite 100, Colorado Springs, CO 80920-8235 | 2017-03-06 |
| 1477096964 | Home Call Medical LLC | Family Medicine | 3925 Regency Dr, Colorado Springs, CO 80906-4318 | 2016-12-01 |
| 1922558188 | Paladina Health, LLC | Family Medicine | 9965 Federal Dr, Colorado Springs, CO 80921-3822 | 2016-10-11 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80916 |
Please comment or provide details below to improve the information on DR. SUZANNE M MALIS.
| 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.