JENNIFER KATHLEEN MALCOLM


Address: 1105 Sunset Ave, Manhattan, KS 66502-3739
Phone: 7855326544

JENNIFER KATHLEEN MALCOLM (NPI# 1154583862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154583862
Entity Type Individual
Full Name JENNIFER KATHLEEN MALCOLM
Credential D.O.
Practice Address 1105 Sunset Ave
Manhattan
KS 66502-3739
Practice Telephone 7855326544
Practice Fax Number 7855323425
Mailing Telephone 7855326544
Mailing Fax Number 7855323425
Enumeration Date 2008-06-25
Last Update Date 2014-09-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QS0010X Family Medicine
Specialization: Sports Medicine
05-37550 KS Allopathic & Osteopathic Physicians
N 207QS0010X Family Medicine
Specialization: Sports Medicine
02003812A IN Allopathic & Osteopathic Physicians

Other Providers JENNIFER MALCOLM

NPI Name Taxonomy Address Enumeration
1386243954 Jennifer Malcolm Social Worker 4150 Clement St, San Francisco, CA 94121-1563 2020-10-23

Office Location

Street Address 1105 SUNSET AVE
City MANHATTAN
State KS
Zip Code 66502-3739

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790782100 Sarah E. Scott Physician Assistant 1105 Sunset Ave, Manhattan, KS 66502-3739 2005-06-30
1982214839 Veronica Parker Massage Therapist 1105 Sunset Ave, Manhattan, KS 66502-3739 2020-08-05
1285282509 Vanitie Rachelle Davies Massage Therapist 1105 Sunset Ave, Manhattan, KS 66502-3739 2019-08-29
1063979326 Maura E Kennedy Specialist/Technologist 1105 Sunset Ave, Manhattan, KS 66502-3739 2019-02-22
1871073049 Jennifer Hibbard Massage Therapist 1105 Sunset Ave, Manhattan, KS 66502-3739 2018-08-17
1902305352 Meghan Cathlene Cummings Nurse Practitioner 1105 Sunset Ave, Manhattan, KS 66502-3761 2018-02-12
1437678695 Kristin Lauren O'donnell Nurse Practitioner 1105 Sunset Ave, Manhattan, KS 66502-3739 2017-09-19
1215392865 Blake Hageman Radiologic Technologist 1105 Sunset Ave, Manhattan, KS 66502-3761 2015-12-28
1689039232 Alex Speth Radiologic Technologist 1105 Sunset Ave, Manhattan, KS 66502-3761 2015-12-28
1972978518 Jaron Goetz Radiologic Technologist 1105 Sunset Ave, Manhattan, KS 66502-3761 2015-12-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184232217 Rebecca Anne Cherry Marriage & Family Therapist 1506 Browning Avenue, Suite 107, Manhattan, KS 66502 2020-07-15
1992334361 Lorin C Kelly Counselor 201 South 4th Street, Suite C5, Manhattan, KS 66502 2020-04-07
1306487947 Emily Trausch Specialist/Technologist 18 Ahearn Fieldhouse, Manhattan, KS 66502 2019-10-04
1730741018 Jessica Caroline Kostroske Speech-Language Pathologist 2031 Poyntz Avenue, Manhattan, KS 66502 2019-07-08
1962968420 Sarah C Siders Social Worker 1506 Browning Avenue #107, Manhattan, KS 66502 2019-02-20
1215408331 Sara E Gotchey Registered Nurse 2100 Claflin Rd, Manhattan, KS 66502 2018-12-16
1306315601 Gail Elizabeth Webster Midwife, Lay 2106 Timber Creek Dr, Manhattan, KS 66502 2018-11-15
1972021525 Patience Ivy Student in an Organized Health Care Education/Training Program 1615 Denison Ave, Apt 211, Manhattan, KS 66502 2017-09-05
1578086252 Alexa Jean Sharr Physician Assistant 1404 Beechwood Ter Ste C and D, Manhattan, KS 66502 2017-07-25
1790226702 Mackenzie Getz Student in an Organized Health Care Education/Training Program 2465 Vaughn Dr, Manhattan, KS 66502 2017-03-10
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Taxonomy Information

Taxonomy Code 207QS0010X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Sports Medicine

Taxonomy Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1275828535 Peter L Loo Family Medicine 1101 Sw 29th St, Topeka, KS 66611-1200 2011-06-15
1225336597 Primary Care Plus of Leawood LLC Family Medicine 4900 W 135th St, Suite 190a, Leawood, KS 66224-8900 2011-03-10
1174608111 Jonathan David Schultz Family Medicine 12200 W 106th St Ste 400, Overland Park, KS 66215-2305 2006-10-26
1508956301 Lawrence M Magee Family Medicine Allen Fieldhouse, 1651 Naismith Dr., Lawrence, KS 66045-0001 2006-10-13
1265090666 Herington Municipal Hospital Family Medicine 108 S Main St, Hillsboro, KS 67063-1526 2019-05-31
1649781709 Lawrence Physicians LLC Family Medicine 1112 W 6th St Ste 124, Lawrence, KS 66044-2249 2017-10-17
1811437890 Tabor College Family Medicine 400 S Jefferson St, Hillsboro, KS 67063-1753 2017-02-24
1043624349 Emily Nicole Heronemus Family Medicine 6265 Rock Chalk Dr, Suite 1500, Lawrence, KS 66049 2014-06-13
1952662793 Paul Cleland Family Medicine 707 N Emporia St, Wichita, KS 67214-3707 2012-06-07
1508150830 Thomas Phillips Jr. Family Medicine 7450 W Frontage Rd, Merriam, KS 66203-4670 2011-06-03
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Competitor

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City MANHATTAN
Zip Code 66502

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Dataset Information

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.

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