DWIGHT M MALONE (NPI# 1154774107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154774107 |
| Entity Type | Individual |
| Full Name | DWIGHT M MALONE |
| Practice Address |
1505 N Country Club Dr Apt 118 Mesa AZ 85201-2518 |
| Practice Telephone | 4805474960 |
| Mailing Telephone | 4805474960 |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2016-07-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172A00000X | Driver | L2088992 | AZ | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 812493202 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093886269 | Dwight Wayne Malone | Family Medicine | 5230 Pacific Concourse Dr, Suite 110, Los Angeles, CA 90045-6200 | 2006-11-10 |
| Street Address |
1505 N COUNTRY CLUB DR APT 118 |
| City | MESA |
| State | AZ |
| Zip Code | 85201-2518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141980 | Arch Hospice, LLC. | Hospice Care, Community Based | 1209 N. Country Club Dr., Ste. 1, Mesa, AZ 85201 | 2020-07-08 |
| 1861025876 | Summit Bhc Mesa LLC | Clinic/Center | 846 North Center Street Suite 101, Mesa, AZ 85201 | 2020-02-18 |
| 1427600774 | Coleen Chatter | Counselor | 711 N. Evergreenrd. Apt#2088, Mesa, AZ 85201 | 2019-07-16 |
| 1013487800 | Akos Live | Family Medicine | 1902 W. Main Street, Mesa, AZ 85201 | 2018-12-05 |
| 1760990329 | Sage Counseling, Inc. | Community/Behavioral Health | 460 N. Mesa Drive, Suites 207 and 209, Mesa, AZ 85201 | 2018-01-17 |
| 1336590025 | Horizon Health and Wellness, Inc. | Assisted Living Facility | 453 West Sunset Circle, Mesa, AZ 85201 | 2016-06-24 |
| 1356711279 | Cheryl Agosto | Registered Nurse | 1025 N. Country Club Dr, Mesa, AZ 85201 | 2015-10-05 |
| 1861877961 | Richard Roble | Speech-Language Pathologist | 125 N. Country Club Dr., Mesa, AZ 85201 | 2015-07-30 |
| 1326440991 | Demetria Harris | Counselor | 455 N. Mesa Drive #11, Mesa, AZ 85201 | 2014-09-25 |
| 1588002489 | Zhen Liu | Acupuncturist | 210n. Center St, #102, Mesa, AZ 85201 | 2013-06-13 |
| Find all providers in zip 85201 | ||||
| Taxonomy Code | 172A00000X |
| Grouping | Other Service Providers |
| Classification | Driver |
| A person employed to operate a motor vehicle as a carrier of persons or property. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942703921 | Mrt Transportation LLC | Driver | 320 S Nina Dr Ste 17, Mesa, AZ 85210-8466 | 2018-03-15 |
| 1255737490 | Kathryn Marie Woolley | Driver | 650 W Southern Ave, Mesa, AZ 85210-5032 | 2014-11-17 |
| 1013313261 | George Montiel | Driver | 650 W Southern Ave, Mesa, AZ 85210-5032 | 2014-11-17 |
| 1366848012 | Daniel Stephen Frimer | Driver | 650 W Southern Ave, Mesa, AZ 85210-5032 | 2014-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508342 | Dbotc LLC | Driver | 20987 N John Wayne Pkwy # B104-289, Maricopa, AZ 85139-2926 | 2020-11-03 |
| 1578179552 | Joshua M Bearden | Driver | 8433 N Black Canyon Hwy Ste 180, Phoenix, AZ 85021-4800 | 2020-09-16 |
| 1235772658 | Michael James Johnson | Driver | 173 S 197th Dr, Buckeye, AZ 85326-3069 | 2019-10-18 |
| 1730670001 | Abdifatah Mohamed | Driver | 4040 E Mcdowell Rd Ste 313, Phoenix, AZ 85008-4447 | 2018-05-23 |
| 1417468075 | Mustafa Arbab | Driver | 2142 W Osborn Rd, Phoenix, AZ 85015-5731 | 2017-10-22 |
| 1750826566 | George Prempeh | Driver | 4512 W Donner Dr, Laveen, AZ 85339-4262 | 2017-01-03 |
| 1124574579 | Fitsum Abreha Sr. | Driver | 4760 N 28th St, Phoenix, AZ 85016-4846 | 2016-08-26 |
| 1548627698 | Bouba Hamadou | Driver | 2602 W Kimberley St, Tucson, AZ 85705-1122 | 2016-01-20 |
| 1831554724 | Alison Gray | Driver | 3410 N 126th Ln, Avondale, AZ 85392-6341 | 2015-12-21 |
| 1760857304 | Galaleldin Omar | Driver | 8235 E Mcdonald Dr, Scottsdale, AZ 85250-6217 | 2015-12-08 |
| Find all providers with the same taxonomy | ||||
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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.