MS. MEGAN KATHLEEN MALONEY (NPI# 1124429261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124429261 |
| Entity Type | Individual |
| Full Name | MS. MEGAN KATHLEEN MALONEY |
| Credential | PA-C |
| Practice Address |
211 N Eddy St. South Bend IN 46617-3096 |
| Mailing Address |
710 N Niles Ave South Bend IN 46617-1924 |
| Practice Telephone | 5742379294 |
| Practice Fax Number | 5742379259 |
| Mailing Telephone | 5746471610 |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2016-09-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
10001709A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | BCBS BMG TRAUMA | 000000900037 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649796954 | Megan Maloney | Registered Nurse | 3650 Graham Hill Rd, Felton, CA 95018-9751 | 2017-08-17 |
| 1598958126 | Megan E Maloney | Social Worker | 2316 W Coldwater Rd, Flint, MI 48505-4809 | 2007-08-27 |
| 1104424738 | Megan Rebecca Maloney | Behavior Technician | 905 Kalanianaole Hwy Spc 5001, Kailua, HI 96734-4669 | 2020-10-15 |
| 1215492608 | Megan Maloney | Student in an Organized Health Care Education/Training Program | 75 Francis St, Boston, MA 02115-6106 | 2019-02-10 |
| 1134571409 | Megan Maloney | Social Worker | 240 Long Island Ave, Wyandanch, NY 11798-3123 | 2016-07-11 |
| 1710338785 | Megan Nicole Maloney | Counselor | 18 County Center Dr, Oroville, CA 95965-3335 | 2016-06-30 |
| 1316311913 | Megan Maloney | Physician Assistant | 2400 Round Rock Ave, Round Rock, TX 78681-4004 | 2015-11-19 |
| 1861733255 | Megan Maloney | Marriage & Family Therapist | 11415 Ne 128th St, Suite 100, Kirkland, WA 98034-6314 | 2013-03-09 |
| Street Address |
211 N EDDY ST. |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46617-3096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720078108 | Robert J. Hruskovich | Family Medicine | 211 N Eddy St., South Bend, IN 46617-3096 | 2005-10-26 |
| 1578013058 | Jennifer N Besemer | Dietitian, Registered | 211 N Eddy St., South Bend, IN 46617 | 2016-10-10 |
| 1952764409 | Marc Oudghiri | Nurse Practitioner | 211 N Eddy St., South Bend, IN 46617-3096 | 2016-04-01 |
| 1447669304 | Ludmila Pichugena-emerson | Nurse Practitioner | 211 N Eddy St., South Bend, IN 46617-3096 | 2014-08-05 |
| 1013288448 | Kelly Mae Losiniecki | Nurse Practitioner | 211 N Eddy St., South Bend, IN 46617-3096 | 2012-01-17 |
| 1497902571 | Saira Malik Rahman | Pediatrics | 211 N Eddy St., South Bend, IN 46617-3096 | 2008-08-20 |
| 1821183674 | Cheryl A. Sharp | Audiologist | 211 N Eddy St., South Bend, IN 46617-3096 | 2006-10-04 |
| 1104817733 | Sandria R Nixon | Nurse Practitioner | 211 N Eddy St., South Bend, IN 46617-3096 | 2005-11-02 |
| 1013907419 | Ralph E Inabnit | Family Medicine | 211 N Eddy St., South Bend, IN 46617-3096 | 2005-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740731116 | Jack Mcintyre Kimmell | Specialist/Technologist | 1526 East Lasalle, South Bend, IN 46617 | 2016-10-20 |
| 1023429115 | Morning View Assisted Living LLC | Assisted Living Facility | 475 N. Niles Avenue, South Bend, IN 46617 | 2014-05-12 |
| 1265861231 | Rebecca Busenbark | Physical Therapist | 401 E Colfax Ave Ste 102, South Bend, IN 46617 | 2013-11-11 |
| 1962709071 | Doreen Danice Huddleston | Social Worker | 928 East Wayne St, Suit C, South Bend, IN 46617 | 2011-02-25 |
| 1487981734 | Mary Cecilia Roemer | Marriage & Family Therapist | 616 E. Colfax Ave, South Bend, IN 46617 | 2009-11-06 |
| 1225264054 | Sridhar Meda | Dentist | 1005 East Lasalle Ave, South Bend, IN 46617 | 2009-06-08 |
| 1063673531 | Madeline Christina Watkins | Counselor | 616 E Colfax, South Bend, IN 46617 | 2008-06-18 |
| 1437366481 | Michael Reed Johns | Dentist | 103 South Eddy Street, South Bend, IN 46617 | 2007-05-17 |
| 1194937680 | Sarah Elizabeth Redman | Specialist/Technologist | 53880 Carmichael Dr., South Bend, IN 46617 | 2007-05-04 |
| 1124241211 | Trixy Franke | Family Medicine | 837 E. Cedar St., Ste 100, South Bend, IN 46617 | 2007-04-10 |
| Find all providers in zip 46617 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386289957 | Jordan Nickley Nemer | Physician Assistant | 270 E Day Rd Ste 200, Mishawaka, IN 46545-3444 | 2019-11-07 |
| 1760947329 | Ellen M Randall | Physician Assistant | 705 Riley Hospital Dr Ste 2514, Indianapolis, IN 46202-5109 | 2019-02-07 |
| 1710459839 | Alyssa Tripp | Physician Assistant | 1007 Lincolnway Rm 1107, La Porte, IN 46350-3201 | 2018-12-31 |
| 1992283899 | Kelsey Arnold | Physician Assistant | 275 W Bassett Rd Ste 2, Shelbyville, IN 46176-8575 | 2018-08-02 |
| 1396249926 | Deaconess Specialty Physicians, Inc | Physician Assistant | 1813 Willow St Ste 5a, Vincennes, IN 47591-4279 | 2018-03-20 |
| 1477924892 | Kristen Marie Ness | Physician Assistant | 13100 E 136th St Ste 2000, Fishers, IN 46037-9440 | 2015-10-12 |
| 1982945960 | Heather Bunnell | Physician Assistant | 3943 Hay Market Dr, Jeffersonville, IN 47130-8260 | 2013-03-15 |
| 1255685772 | Jarron J Lincoln | Physician Assistant | 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 46237 | 2012-11-06 |
| 1427364926 | Rebecca Lou Autry | Physician Assistant | 10081 Fredericksburg Rd Nw, Depauw, IN 47115-8629 | 2010-08-23 |
| 1558685495 | Douglas D Kesler | Physician Assistant | 1411 S Creasy Lane, Suite 120, Lafayette, IN 47905-7433 | 2010-03-22 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BEND |
| Zip Code | 46617 |
Please comment or provide details below to improve the information on MS. MEGAN KATHLEEN MALONEY.
| 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.