MR. MARK D MALONE (NPI# 1164456984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164456984 |
| Entity Type | Individual |
| Full Name | MR. MARK D MALONE |
| Credential | PA |
| Practice Address |
1925 Mountain View Ave Longmont CO 80501-3128 |
| Practice Telephone | 3037761234 |
| Mailing Telephone | 3037761234 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2016-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA.0002005 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 72328541 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447723127 | Mark W Malone | Contractor | 42234 Minnesota Creek Rd Unit G, Paonia, CO 81428-8125 | 2019-01-06 |
| 1255521282 | Mark A Malone | Dentist | 3618 W 7th St Ste B, Fort Worth, TX 76107-2594 | 2007-07-26 |
| 1487744827 | Mark S. Malone | Family Medicine | 711 Titus St, Gilmer, TX 75644-1738 | 2006-10-14 |
| 1659399871 | Mark Thomas Malone | Pain Medicine | 2000 South Mays Street, Suite 201, Round Rock, TX 78664-7580 | 2006-07-17 |
| 1679075774 | Mark Anthony Malone | Case Manager/Care Coordinator | 602 David St, Corning, AR 72422-7268 | 2018-03-05 |
| 1487750642 | Mark Stephen Malone | Physical Therapist | 151 Ashley Drive, Kerrville, TX 78028 | 2006-09-15 |
| 1740296953 | Mark Malone | Internal Medicine | 300 Randall Rd, Geneva, IL 60134-4200 | 2006-07-31 |
| Street Address |
1925 MOUNTAIN VIEW AVE |
| City | LONGMONT |
| State | CO |
| Zip Code | 80501-3128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275538555 | Amy Lou Johnson | Obstetrics & Gynecology | 1925 Mountain View Ave, Longmont, CO 80501-3128 | 2005-06-14 |
| 1013522192 | Poudre Valley Medical Group, LLC | Urology | 1925 Mountain View Ave, Longmont, CO 80501-3128 | 2020-09-15 |
| 1164037248 | Poudre Valley Medical Group, LLC | Obstetrics & Gynecology | 1925 Mountain View Ave, Longmont, CO 80501-3128 | 2020-09-15 |
| 1003421306 | Poudre Valley Medical Group, LLC | Urology | 1925 Mountain View Ave, Longmont, CO 80501-3128 | 2020-09-14 |
| 1922613603 | Poudre Valley Medical Group, LLC | Internal Medicine | 1925 Mountain View Ave, Longmont, CO 80501-3128 | 2020-09-10 |
| 1679186803 | Poudre Valley Medical Group, LLC | Internal Medicine | 1925 Mountain View Ave, Longmont, CO 80501-3128 | 2020-08-27 |
| 1942813167 | Poudre Valley Medical Group, LLC | Internal Medicine | 1925 Mountain View Ave, Longmont, CO 80501-3128 | 2020-08-27 |
| 1194338319 | Poudre Valley Medical Group, LLC | Radiology | 1925 Mountain View Ave, Longmont, CO 80501-3128 | 2020-08-27 |
| 1740893197 | Poudre Valley Medical Group, LLC | Surgery | 1925 Mountain View Ave, Longmont, CO 80501-3128 | 2020-08-26 |
| 1073126652 | Poudre Valley Medical Group, LLC | Pediatrics | 1925 Mountain View Ave, Longmont, CO 80501-3128 | 2020-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376774 | Boulder County Public Health | Public Health or Welfare | 515 Coffman Street, Suite 200, Longmont, CO 80501 | 2020-08-12 |
| 1164032827 | Kidstuff Child and Family Counseling, P.C. | Marriage & Family Therapist | 360 15th Ave, Ste. 104, Longmont, CO 80501 | 2020-08-06 |
| 1861036501 | Stateserv Medical of Colorado | Durable Medical Equipment & Medical Supplies | 63 South Pratt Pkwy, Landmont, CO 80501 | 2019-11-06 |
| 1558915090 | Array Clinical and Therapeutic Services | Assistant Behavior Analyst | 451 21st Ave. Suite B, Longmont, CO 80501 | 2019-08-01 |
| 1275195042 | Alisa Marie Schwegerl | Speech-Language Pathologist | 1800 Stroh Place, Longmont, CO 80501 | 2019-07-02 |
| 1295298545 | Jovahna Pena | Counselor | Behavioral Health Group, 850 23rd Ave Unit A, Longmont, CO 80501 | 2019-04-12 |
| 1659845568 | University Physicians Incorporated | Advanced Practice Midwife | 2030 Mountain View Ave Ste 400, Longmont, CO 80501 | 2019-01-14 |
| 1013404714 | Crafted Physical Therapy Pllc | Physical Therapist | 701 Delaware Ave Unit E, Longmont, CO 80501 | 2018-04-18 |
| 1588110860 | Randall Bonnom | Counselor | 420 21st Ave #113, Longmont, CO 80501 | 2016-08-28 |
| 1225401771 | Sowash Optometry Group, PC | Eyewear Supplier (Equipment, not the service) | 1242 S. Hover Street, Suite C200, Longmont, CO 80501 | 2015-11-05 |
| Find all providers in zip 80501 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152957 | Erin Lynn Hellerstedt | Physician Assistant | 766 S Martin St Apt C222, Longmont, CO 80501-6493 | 2020-10-26 |
| 1255930897 | Lee Finley-blasi | Physician Assistant | 841 Atwood St, Longmont, CO 80501-5020 | 2020-10-24 |
| 1871984278 | Amy Hulstrom | Physician Assistant | 9928 Harbor Dr, Longmont, CO 80504-5532 | 2015-02-07 |
| 1598088965 | Rebecca Yvonne Miller | Physician Assistant | 2144 Main St, #8, Longmont, CO 80501-8402 | 2010-03-12 |
| 1588842165 | Britt Erika Warner | Physician Assistant | 2030 Mountain View Ave Ste 250, Longmont, CO 80501-3273 | 2008-02-05 |
| 1639366149 | Gerald Huang | Physician Assistant | 1950 W. Mountain View Ave., Longmont, CO 80501-3129 | 2007-09-28 |
| 1013087907 | John P Hundley | Physician Assistant | 2900 Peak Ave, Longmont, CO 80504-6236 | 2006-11-08 |
| 1679654909 | Thomas Laverne Bachinski | Physician Assistant | 2101 Ken Pratt Blvd, Suite 104, Longmont, CO 80501-6567 | 2006-10-17 |
| 1083632012 | Erin Lea Keefer | Physician Assistant | 1351 Collyer St, Longmont, CO 80501-3310 | 2006-07-17 |
| 1558344812 | Kelli R Mckee | Physician Assistant | 2144 Main St Ste 8, Longmont, CO 80501-8402 | 2005-11-21 |
| Find all providers in LONGMONT | ||||
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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.