DR. JACOB MALONE (NPI# 1285292078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285292078 |
| Entity Type | Individual |
| Full Name | DR. JACOB MALONE |
| Credential | DDS |
| Practice Address |
820 Arbutus Ave Oconto WI 54153-2004 |
| Mailing Address |
15954 Rivers Edge Dr Hayward WI 54843-7800 |
| Practice Telephone | 7156342541 |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2019-06-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
1002093 | WI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326292749 | Jacob Russell Malone | Occupational Therapist | 3206 47th St Apt 4k, Astoria, NY 11103-1741 | 2008-11-12 |
| Street Address |
820 ARBUTUS AVE |
| City | OCONTO |
| State | WI |
| Zip Code | 54153-2004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063496826 | Robert A Bivins | Emergency Medicine | 820 Arbutus Ave, Oconto, WI 54153-2004 | 2005-12-05 |
| 1720635485 | Erin Lynne Pape | Nurse Practitioner | 820 Arbutus Ave, Oconto, WI 54153-2004 | 2019-08-19 |
| 1114579836 | Oconto Hospital & Medical Center Inc | Dietitian, Registered | 820 Arbutus Ave, Oconto, WI 54153-2004 | 2019-07-12 |
| 1689151599 | Oconto Hospital & Medical Center Inc | Medicare Defined Swing Bed Unit | 820 Arbutus Ave, Oconto, WI 54153-2004 | 2018-07-24 |
| 1730693888 | Leslie M Wochos | Occupational Therapist | 820 Arbutus Ave, Oconto, WI 54153-2004 | 2017-11-28 |
| 1912418179 | Baycare Clinic, LLP | Neurological Surgery | 820 Arbutus Ave, Oconto, WI 54153-2004 | 2017-10-16 |
| 1255868113 | Kate Marie Vanalstyne | Occupational Therapist | 820 Arbutus Ave, Oconto, WI 54153-2004 | 2017-05-22 |
| 1861899833 | Wisconsin Sports Medicine and Orthopedics,s.c. | Orthopaedic Surgery | 820 Arbutus Ave, Oconto, WI 54153-2004 | 2014-11-19 |
| 1659781441 | Michael Jon Brenner | Emergency Medicine | 820 Arbutus Ave, Oconto, WI 54153-2004 | 2014-05-01 |
| 1073956223 | The Lakes Community Health Center, Inc | Clinic/Center | 820 Arbutus Ave, Oconto, WI 54153-2004 | 2013-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629240650 | Aurora Medical Group Inc | Durable Medical Equipment & Medical Supplies | 530 Smith Ave, Oconto, WI 54153 | 2008-03-31 |
| 1912997081 | Benzer Wi 1 LLC | Pharmacy | 1008 Main St, Oconto, WI 54153 | 2005-10-28 |
| 1245758127 | Hayley Joy Maxwell | Counselor | 501 Park Ave, Oconto, WI 54153 | 2017-08-31 |
| 1538542089 | Aliaksandr Trusau | Internal Medicine | 620 Smith Ave, Oconto, WI 54153 | 2015-07-01 |
| 1467879296 | Christopher Hanke | Counselor | 501 Park Ave, Oconto, WI 54153 | 2014-03-18 |
| 1669807020 | Joshua Ammon Weenig | Dentist | 1210 Pecor St, Oconto, WI 54153 | 2013-09-04 |
| 1932252533 | Oconto County Health & Human Services | Registered Nurse | 501 Park Ave, Oconto, WI 54153 | 2007-01-19 |
| 1841343449 | Oconto County Health & Human Services | Hospice Care, Community Based | 501 Park Ave, Oconto, WI 54153 | 2007-01-19 |
| 1396967253 | Matthew James Karban | Dentist | 500 Superior Avenue, Oconto, WI 54153-0298 | 2007-05-02 |
| 1811492929 | Katie Daniels | Nurse Practitioner | 530 Smith Ave, Oconto, WI 54153-1010 | 2018-03-29 |
| Find all providers in zip 54153 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801999784 | Meier Dental Center, Inc. | Dentist | 1210 Pecor St, Oconto, WI 54153-1768 | 2006-09-06 |
| 1285122895 | Oconto Dental LLC | Dentist | 1210 Pecor St, Oconto, WI 54153-1768 | 2018-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700496007 | Elizabeth R Friend | Dentist | 440 Science Dr Ste 100, Madison, WI 53711-1064 | 2020-08-03 |
| 1205451598 | Tysen Wood | Dentist | 605 S 24th Ave Ste 10, Wausau, WI 54401-1705 | 2020-06-11 |
| 1841814035 | Vicki Shah | Dentist | 220 E Commerce Ct, Elkhorn, WI 53121-4371 | 2020-06-03 |
| 1790308666 | Michelle Zellmer | Dentist | 333 W Brown Deer Rd Ste A, Fox Point, WI 53217-2370 | 2020-05-26 |
| 1568083772 | Kolver Matos | Dentist | N112w16286 Mequon Rd, Germantown, WI 53022-3306 | 2020-04-28 |
| 1205466737 | Leyes Robers Dental LLC | Dentist | 3216 W County Rd Kk, Appleton, WI 54915 | 2020-01-23 |
| 1972133536 | Neha Solanki | Dentist | 1212 Horton St Ste 200, La Crosse, WI 54601-6289 | 2020-01-23 |
| 1023655131 | Pak Dental LLC | Dentist | 8241 S Howell Ave Ste 100, Oak Creek, WI 53154-8346 | 2019-12-09 |
| 1700428216 | Binninger Dentistry, LLC | Dentist | 12720 W North Ave Bldg B, Brookfield, WI 53005-4637 | 2019-10-16 |
| 1720629017 | Quirt Family Dentistry, S.c. | Dentist | W178n9379 Water Tower Pl, Menomonee Falls, WI 53051-8034 | 2019-10-08 |
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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.