MICHAEL MALIN (NPI# 1275565640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275565640 |
| Entity Type | Individual |
| Full Name | MICHAEL MALIN |
| Credential | MD |
| Practice Address |
385 Main St S Union Square Southbury CT 06488-4240 |
| Mailing Address |
385 Main St S Union Square Bldg #1 C O Nvra Imaging Network Southbury CT 06488-4240 |
| Practice Telephone | 2032647999 |
| Practice Fax Number | 2032647477 |
| Mailing Telephone | 2032647999 |
| Mailing Fax Number | 2032647477 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
034220 | CT | Allopathic & Osteopathic Physicians |
| X | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
034220 | CT | Allopathic & Osteopathic Physicians |
| X | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
034220 | CT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720027261 | Michael J Malin | Family Medicine | 4665 Scotch Pine Cir, Wamego, KS 66547-9342 | 2006-06-06 |
| Street Address |
385 MAIN ST S UNION SQUARE |
| City | SOUTHBURY |
| State | CT |
| Zip Code | 06488-4240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811961014 | Michael C Trager | Internal Medicine | 385 Main St S, Union Square, Southbury, CT 06488 | 2006-02-14 |
| 1821507229 | Ariana Marie Cusack | Behavioral Analyst | 385 Main St S, Southbury, CT 06488-4240 | 2017-09-28 |
| 1336570357 | Evergreen Prosthodontic Associates, LLC | Dentist | 385 Main St S, Suite 210, Southbury, CT 06488-4240 | 2013-12-01 |
| 1760620678 | Maysoun Richi | Specialist | 385 Main St S, Southbury, CT 06488-4240 | 2009-01-30 |
| 1497956510 | Southbury Smiles, LLC | Dentist | 385 Main St S, Suite 210, Southbury, CT 06488-4240 | 2007-05-29 |
| 1043300338 | Donna M. Leddy | Physical Therapist | 385 Main St S, Suite 212, Southbury, CT 06488-4240 | 2006-10-15 |
| 1275621625 | Jane Hunter | Internal Medicine | 385 Main St S, Suite 106 Union Square, Southbury, CT 06488-4240 | 2006-10-11 |
| 1629165048 | Comprehensive Healthcare LLC | Internal Medicine | 385 Main St S, Suite 106, Southbury, CT 06488-4240 | 2006-10-06 |
| 1245334432 | Maureen Keegan Boyd | Physical Therapist | 385 Main St S, Ste 212, Southbury, CT 06488-4156 | 2006-09-11 |
| 1801909114 | Phase One Physical Therapy PC | Occupational Therapist | 385 Main St S, Ste 212, Southbury, CT 06488-4156 | 2006-08-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538646229 | Katherine Whalen | Physical Therapist | 655 Main Sreet South, Southbury, CT 06488 | 2018-07-25 |
| 1346779618 | Prestige Companion & Homemakers, LLC | Homemaker | 32 Poverty Rd, Suite F, Southbury, CT 06488 | 2017-06-08 |
| 1407225873 | Mary Synnott | Occupational Therapist | 25 Depot Hill Rd, Southbuty, CT 06488 | 2015-09-16 |
| 1568854735 | Jean Piacenza | Social Worker | 505 Heritage Road, Suite 104, Southbury, CT 06488 | 2015-02-25 |
| 1295174993 | Saeeda Qadri | Internal Medicine | 22 Old Waterbury Rd Ste 108, Southbury, CT 06488 | 2013-06-17 |
| 1538502133 | Hearing Aid Services Inc | Audiologist-Hearing Aid Fitter | 1449 Old Waterbury Rd Ste 303, Southbury, CT 06488 | 2013-04-12 |
| 1992064380 | Maria Hornak-houle | Social Worker | 88 Main St. S, Southbury, CT 06488 | 2012-05-07 |
| 1255641072 | Rebecha Kay Sullivan | Social Worker | 35 Timberland Way, Southbury, CT 06488 | 2010-10-14 |
| 1619115094 | Jennie L Kempf | Counselor | 33 Bullet Hill Rd Ste 204, Southbury, CT 06488 | 2009-01-23 |
| 1891949434 | Kelly Patrice Hochstetler | Occupational Therapist | 22 Old Waterbury Rd., Suite 101, Phys. Med. Ctr. of Southbury, Southbury, CT 06488 | 2008-11-10 |
| Find all providers in zip 06488 | ||||
| Taxonomy Code | 2085N0904X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Nuclear Radiology |
| A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346274255 | Robert Gumbardo | Radiology | 385 Main St South, Union Square, Southbury, CT 06488 | 2006-07-10 |
| 1780618694 | Mark Johnson | Radiology | 385 Main St South, Union Square, Southbury, CT 06488 | 2006-07-10 |
| 1598799405 | Robert Lehman | Radiology | 385 Main St S, Union Square Bldg#2, Southbury, CT 06488-4240 | 2006-07-10 |
| 1992739809 | Ying-sek Chan | Radiology | 385 Main St S, Union Square, Southbury, CT 06488-4240 | 2006-07-10 |
| 1114959541 | Matthew Bushey | Radiology | 385 Main St South, Union Square, Southbury, CT 06488 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174812986 | Alena Kreychman | Radiology | 4 Talcott Gln Unit D, Farmington, CT 06032-3523 | 2011-04-01 |
| 1669412961 | Aditya R Daftary | Radiology | 205 Church Street, 3rd Floor, New Haven, CT 06510-1805 | 2006-06-07 |
| 1073502621 | Frans J Wackers | Radiology | 20 York Street, Y-nhh South Pavilion 2nd Fl, New Haven, CT 06510 | 2005-10-17 |
| 1912239625 | Anne Marie Boustani | Radiology | 20 York St, New Haven, CT 06510-3220 | 2010-02-04 |
| 1689813966 | Manijeh Zehtabchi | Radiology | 20 York St # T-209, Yale-new Haven Hospital, New Haven, CT 06510 | 2009-02-11 |
| 1528231677 | David S Karimeddini | Radiology | 263 Farmington Ave, Farmington, CT 06030-0001 | 2008-04-09 |
| 1326134701 | Antonio Obando | Radiology | 950 Campbell Avenue, West Haven, CT 06516-2700 | 2006-10-05 |
| 1992788335 | Carol H Lee | Radiology | 800 Howard Ave, Yale Physicians Building, New Haven, CT 06519-1369 | 2005-11-21 |
| 1457347833 | Scott Williams | Radiology | 3 Enterprise Dr Ste 220, Shelton, CT 06484-4694 | 2005-09-21 |
| 1447245030 | Douglas W Gibson | Radiology | 263 Farmington Ave, Radiology, Farmington, CT 06030-2803 | 2005-09-20 |
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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.