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).
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 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386243954 | Jennifer Malcolm | Social Worker | 4150 Clement St, San Francisco, CA 94121-1563 | 2020-10-23 |
Street Address |
1105 SUNSET AVE |
City | MANHATTAN |
State | KS |
Zip Code | 66502-3739 |
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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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 |
Find all providers in zip 66502 |
Taxonomy Code | 207QS0010X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Sports Medicine |
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. |
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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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.