BRIAN JOEL MALOTT (NPI# 1144652108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144652108 |
| Entity Type | Individual |
| Full Name | BRIAN JOEL MALOTT |
| Credential | PA-C |
| Practice Address |
201 Cedar St Se Ste 6600 Albuquerque NM 87106-5411 |
| Practice Telephone | 5057344300 |
| Practice Fax Number | 5057244384 |
| Mailing Telephone | 5057244300 |
| Mailing Fax Number | 5057244384 |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2015-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA2013-0044 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA2013-0044 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 16433882 | 05 |
| Street Address |
201 CEDAR ST SE STE 6600 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87106-5411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437230844 | Nathan J Crowder | Physician Assistant | 201 Cedar St Se Ste 6600, Albuquerque, NM 87106-5411 | 2006-10-18 |
| 1255976510 | Briana Chacon | Orthopaedic Surgery | 201 Cedar St Se Ste 6600, Albuquerque, NM 87106-5411 | 2019-11-11 |
| 1295383792 | Elizabeth Ann Aigner | Occupational Therapist | 201 Cedar St Se Ste 6600, Albuquerque, NM 87106-5411 | 2019-08-28 |
| 1275195869 | Rachel Wilson | Physical Therapist | 201 Cedar St Se Ste 6600, Albuquerque, NM 87106-5411 | 2019-07-03 |
| 1437615127 | Alexandra Griego | Physical Therapist | 201 Cedar St Se Ste 6600, Albuquerque, NM 87106-5411 | 2019-02-18 |
| 1023585163 | Dominic Romero | Physician Assistant | 201 Cedar St Se Ste 6600, Albuquerque, NM 87106-5411 | 2018-10-26 |
| 1407349319 | Anna Jane Smith | Physician Assistant | 201 Cedar St Se Ste 6600, Albuquerque, NM 87106-5411 | 2018-06-14 |
| 1508183989 | Terry Leonid Hansen | Physical Medicine & Rehabilitation | 201 Cedar St Se Ste 6600, Albuquerque, NM 87106 | 2010-04-26 |
| 1538354097 | Carlos Humberto Soto | Physician Assistant | 201 Cedar St Se Ste 6600, Albuquerque, NM 87106-5411 | 2007-09-07 |
| 1447317243 | Michael E Trujillo | Specialist/Technologist, Other | 201 Cedar St Se Ste 6600, Albuquerque, NM 87106-5411 | 2007-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679808 | Jorge Licano | Student in an Organized Health Care Education/Training Program | Unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-04 |
| 1730780032 | Joseph Sanchez | Student in an Organized Health Care Education/Training Program | (unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-03 |
| 1336746205 | Evan Laub | Pharmacist | 2950 Central Ave. Sw, Albuquerque, NM 87106 | 2020-10-05 |
| 1487203154 | Theresa Martinez | Technician | 5680 Avedon Dr. Se, Albuquerque, NM 87106 | 2019-09-05 |
| 1205300647 | Louis Mayer II | Specialist/Technologist | 1414 University Blvd Tow Diehm Athletic Facility, Albuquerque, NM 87106 | 2019-01-18 |
| 1235633355 | Terrena Grace Vigil Brady | Occupational Therapist | 1001 Yale Blvd, Albuquerque, NM 87106 | 2018-03-22 |
| 1205355195 | Yaritza Ruiz | Specialist/Technologist | 1200 Avenida Cesar Chavez, 231d, Albuquerque, NM 87106 | 2017-09-12 |
| 1457873382 | Cynthia Bluhm | Registered Nurse | 7600 Cedar St Se Ste 7600, Albuquerque, NM 87106 | 2017-07-12 |
| 1295265882 | Hallie Chancellor | Behavior Technician | 1801 Gibson Blvd Se Apt 1046, Albuquerque, NM 87106 | 2017-06-15 |
| 1780111757 | Jiana Hook | Physical Medicine & Rehabilitation | 1414 University Blvd. Se, Albuquerque, NM 87106 | 2017-05-22 |
| Find all providers in zip 87106 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013398072 | Lauren Soules | Physician Assistant | 3615 Highway 528 Nw, Albuquerque, NM 87114-8919 | 2015-06-16 |
| 1447666508 | Audrey Rich | Physician Assistant | 201 Cedar Ave, Albuquerque, NM 87106 | 2014-07-09 |
| 1104178813 | Adam M Newman | Physician Assistant | University of New Mexico Hospital Department, Msc 10 5610, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2012-10-04 |
| 1255682944 | Armstrong Medical LLC | Physician Assistant | 13170 Central Ave Se, Suite B 345, Albuquerque, NM 87123 | 2012-09-21 |
| 1982818860 | Kristen Marron Bushnell | Physician Assistant | Pmg At 8300 Constitution - General Surgery, 8300 Constitution Ave Ne, Albuquerque, NM 87110 | 2007-05-09 |
| 1629092457 | David A Mcculloch | Physician Assistant | 1501 San Pedro, Se, Va Medical Center, Albuquerque, NM 87108 | 2006-07-26 |
| 1861444143 | Beverly Heck Bierbach | Physician Assistant | Vamc, Ent Surgery, 1501 San Pedro, Se, Albuquerque, NM 87108-5153 | 2006-05-16 |
| 1881654218 | Paul Lee Armstrong | Physician Assistant | 13170 Central Ave Se Ste B345, Albuquerque, NM 87123 | 2006-03-28 |
| 1477535698 | Daryl Edson Smith | Physician Assistant | 4504 Waynesboro Rd Nw, Albuquerque, NM 87120-3823 | 2005-11-15 |
| 1366431355 | Michelle M Ruthmann | Physician Assistant | 8301 Spain Rd Ne, Albuquerque, NM 87109-3166 | 2005-10-21 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87106 |
Please comment or provide details below to improve the information on BRIAN JOEL MALOTT.
| 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.