MALLORY BURROUGHS (NPI# 1124570940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124570940 |
| Entity Type | Individual |
| Full Name | MALLORY BURROUGHS |
| Other Name | MALLORY PAULIN |
| Credential | NP |
| Practice Address |
7225 Old Oak Blvd Southwest General Health Center, Building A, Suite 210 Middleburg Heights OH 44130-3339 |
| Mailing Address |
7225 Old Oak Blvd Suite A210 Middleburg Heights OH 44130-3339 |
| Practice Telephone | 4408162761 |
| Mailing Telephone | 4408162761 |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2017-04-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP.019966 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7225 OLD OAK BLVD SOUTHWEST GENERAL HEALTH CENTER, BUILDING A, SUITE 210 |
| City | MIDDLEBURG HEIGHTS |
| State | OH |
| Zip Code | 44130-3339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942203807 | Southwest Family Physicians, Inc. | Family Medicine | 7225 Old Oak Blvd, Ste A210, Middleburg Heights, OH 44130-3339 | 2005-05-24 |
| 1063840213 | Jennifer Anne Degyansky | Nurse Practitioner | 7225 Old Oak Blvd, Suite A210, Middleburg Heights, OH 44130-3339 | 2013-10-25 |
| 1548488943 | Southwest Surgical Associates Inc | Surgery | 7225 Old Oak Blvd, Suite B 315, Middleburg Heights, OH 44130-3345 | 2007-04-23 |
| 1134216765 | Edward Cramer White | Family Medicine | 7225 Old Oak Blvd, Suite 210a, Middleburg Heights, OH 44130-3339 | 2006-10-06 |
| 1801995105 | Conrad Lindes | Family Medicine | 7225 Old Oak Blvd, Suite 210a, Middleburg Heights, OH 44130-3339 | 2006-09-22 |
| 1801995907 | Kimberly Wagner Biglow | Family Medicine | 7225 Old Oak Blvd, Suite 210a, Middleburg Heights, OH 44130-3339 | 2006-09-22 |
| 1477652816 | Karyn Lyn Abdallah | Family Medicine | 7225 Old Oak Blvd, Suite 210a, Middleburg Heights, OH 44130-3339 | 2006-09-22 |
| 1992804363 | David Chase Lash | Family Medicine | 7225 Old Oak Blvd, Suite 210a, Middleburg Heights, OH 44130-3339 | 2006-09-22 |
| 1699874859 | Richard Clifford Mcburney | Family Medicine | 7225 Old Oak Blvd, Suite 210a, Middleburg Heights, OH 44130-3339 | 2006-09-22 |
| 1962501064 | Stephen John Tymcio | Family Medicine | 7225 Old Oak Blvd, Suite 210a, Middleburg Heights, OH 44130-3339 | 2006-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912545427 | Northeast Care Center, Inc. | Intermediate Care Facility, Mentally Retarded | 19080 Bagley Road, Middleburg Hts., OH 44130 | 2019-12-16 |
| 1982189148 | Carl Steinhoff | Registered Nurse | 13766 Cherokee Trail, Middleburg Heights, OH 44130 | 2018-10-03 |
| 1649756321 | Beatrice Shepherd | Counselor | 5253 Hauserman Rd Apt 212, Parma, OH 44130 | 2018-07-16 |
| 1841705068 | New Heights Aba, LLC | Behavioral Analyst | 6908 Engle Rd Ste D, Middleburg Heights, OH 44130 | 2017-12-11 |
| 1275059842 | Tynisha Nicole Nation | Registered Nurse | 6431 Olde York, Parma Hts, OH 44130 | 2017-08-16 |
| 1609328558 | Lisa Wolanin | Physical Therapist | 186970bagley Road, Middleburg Hts, OH 44130 | 2016-10-26 |
| 1184074205 | Tanya Makowski | Nurse Practitioner | 7215 Old Oak Blvd Ste A420, Cleveland, OH 44130 | 2016-06-20 |
| 1093165706 | Dana Hyde | Dentist | 7528 Pearl Rd, Middleburg Heights, OH 44130 | 2016-06-14 |
| 1689046625 | Kimberly Ann Piro | Nurse Practitioner | 12240 Zona Ln, Parma, OH 44130 | 2015-10-29 |
| 1225400088 | Larrise Williford | Registered Nurse | 11491 Sharon Dr Apt C705, Parma, OH 44130 | 2015-10-20 |
| Find all providers in zip 44130 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255966057 | Matthew James Laubert | Nurse Practitioner | 15299 Bagley Rd Ste 300, Middleburg Heights, OH 44130-4809 | 2020-03-12 |
| 1477029189 | Camila Faria | Nurse Practitioner | 7225 Old Oak Blvd Ste 210, Middleburg Heights, OH 44130-3339 | 2018-10-19 |
| 1649737487 | Amanda Vitek | Nurse Practitioner | 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 | 2019-02-28 |
| 1174013502 | Laura Ziros Gilbride | Nurse Practitioner | 7225 Old Oak Blvd Ste A210, Middleburg Heights, OH 44130-3339 | 2018-05-10 |
| 1770027823 | Alexa Randazzo | Nurse Practitioner | 7259 Pearl Rd, Middleburg Heights, OH 44130 | 2016-12-08 |
| 1023552155 | Wendy S Born | Nurse Practitioner | 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 | 2016-12-08 |
| 1508236043 | Autumn Schaef | Nurse Practitioner | 7380 Engle Rd, Middleburg Heights, OH 44130-3429 | 2015-09-27 |
| 1912316100 | William Selig | Nurse Practitioner | 7800 Pearl Rd, Middleburg Heights, OH 44130-6552 | 2014-08-13 |
| 1033524244 | Brian Tomcany Sr. | Nurse Practitioner | 7800 Pearl Rd, Middleburg Heights, OH 44130-6552 | 2014-06-25 |
| 1346653045 | Jenna Burcham | Nurse Practitioner | 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 | 2014-06-10 |
| Find all providers in MIDDLEBURG HEIGHTS | ||||
| City | MIDDLEBURG HEIGHTS |
| Zip Code | 44130 |
Please comment or provide details below to improve the information on MALLORY BURROUGHS.
| 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.