DR. MARK E O'MALLEY (NPI# 1184736043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184736043 |
| Entity Type | Individual |
| Full Name | DR. MARK E O'MALLEY |
| Credential | D.C. |
| Practice Address |
78 Beaver Rd Suite 2a Wethersfield CT 06109-2295 |
| Practice Telephone | 8602579400 |
| Practice Fax Number | 8602577169 |
| Mailing Telephone | 8602579400 |
| Mailing Fax Number | 8602577169 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2010-11-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CT000731 | CT | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | CONNECTICARE | 682637 | 01 |
| CT | ANTHEM BLUE CROSS | 050000731CT01 | 01 |
| CT | HEALTHNET | 2V2010 | 01 |
| CT | ENVOY/AETNA | 4590708 | 01 |
| CT | AETNA | 519710 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790105427 | Mark James O'malley | Massage Therapist | 1236 S. King St., Room 200, Honolulu, HI 96813 | 2014-04-21 |
| 1083899686 | Mark Alan O'malley | Surgery | 4441 E Mcdowell Rd Ste 101, Phoenix, AZ 85008-4503 | 2008-01-02 |
| Street Address |
78 BEAVER RD SUITE 2A |
| City | WETHERSFIELD |
| State | CT |
| Zip Code | 06109-2295 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548209455 | Josephine Contrino | Internal Medicine | 78 Beaver Rd, Suite 1a, Wethersfield, CT 06109-2295 | 2006-06-06 |
| 1245424753 | Acelleron Medical Products, Inc. | Durable Medical Equipment & Medical Supplies | 78 Beaver Rd, Suite 2e, Wethersfield, CT 06109-2295 | 2007-08-29 |
| 1134274921 | Josephine Contrino Md, LLC | Nurse Practitioner | 78 Beaver Rd, Suite 1a, Wethersfield, CT 06109-2295 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982223293 | Sonya Voytas Maher | Technician/Technologist | 1197 Main Street, Coventry, CT 06109 | 2020-04-16 |
| 1336775485 | Lance Morton | Hearing Instrument Specialist | Miracle Ear, 1206 Silas Deane Hwy, Wethersfield, CT 06109 | 2020-03-20 |
| 1780178350 | Bethany Wittman | Audiologist | 988 Silas Deane Highway, Wethersfield, CT 06109 | 2018-06-18 |
| 1659806404 | Lauren M Mcgrath | Physical Therapist | 672 Silas Deane Highway, Wethersfield, CT 06109 | 2017-04-28 |
| 1851824858 | A Plus Senior Home Care LLC | In Home Supportive Care | 183 Clearfield Rd, Wethersfield, CT 06109 | 2017-04-06 |
| 1801270707 | Dr.matthew Carbone Family Chiropractic | Chiropractor | 15 Country Club Rd, Wethersfield, CT 06109 | 2015-07-10 |
| 1629455910 | Melanie Anne Parker | Physical Therapist | 850 Silas Deane Hwy #2, Wethersfield, CT 06109 | 2015-05-06 |
| 1508271875 | Integrated Procare Services | Counselor | 415 Silas Deane Hwy # 401, Wethersfield, CT 06109 | 2014-06-25 |
| 1265867394 | Caregiver Homes of Connecticut, Inc | Custodial Care Facility | 912 Silas Dean Highway - Suite 101, Weathersfield, CT 06109 | 2013-09-09 |
| 1285925651 | Steven Warren Young | Pharmacist | 657 Silas Deane Highway, Rite Aid Pharmacy, Wethersfield, CT 06109 | 2011-04-20 |
| Find all providers in zip 06109 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801270707 | Dr.matthew Carbone Family Chiropractic | Chiropractor | 15 Country Club Rd, Wethersfield, CT 06109 | 2015-07-10 |
| 1366744922 | O'malley Chiropractic Health Center, LLC | Chiropractor | 78 Beaver Road, Suite 2a, Wethersfield, CT 06109 | 2010-12-02 |
| 1104065515 | Justin Roth | Chiropractor | 82 Wolcott Hill Rd, Wethersfield, CT 06109-1243 | 2009-02-09 |
| 1518185016 | Guy Carbone | Chiropractor | 82 86 Wolcott Hill Road, Suite 1, Wethersfield, CT 06109 | 2007-04-23 |
| 1376685909 | Ross Fredrick Belanger | Chiropractor | 55 Town Line Road, Wethersfield, CT 06109 | 2007-02-12 |
| 1699831602 | Mark Chudy | Chiropractor | 82 86 Wolcott Hill Rd, Suite 1, Wethersfield, CT 06109 | 2006-12-28 |
| 1972686103 | Carbone Chiropractic Center LLC | Chiropractor | 82-86 Wolcott Hill Rd, Suite #1, Wethersfield, CT 06109-1252 | 2006-10-23 |
| 1821090176 | Christopher Lee Lavoie | Chiropractor | 465 Silas Deane Hwy, Wethersfield, CT 06109-2134 | 2005-06-01 |
| 1295349215 | Tyler Veretto | Chiropractor | 82 Wolcott Hill Rd, Wethersfield, CT 06109-1243 | 2020-09-08 |
| 1700356524 | Brandon Lawrence Nadeau | Chiropractor | 465 Silas Deane Hwy, Wethersfield, CT 06109-2134 | 2018-12-05 |
| Find all providers in WETHERSFIELD | ||||
| City | WETHERSFIELD |
| Zip Code | 06109 |
Please comment or provide details below to improve the information on DR. MARK E O'MALLEY.
| 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.