VICTOR THEODORE MALLORY


Address: 100 N Academy Ave, Danville, PA 17822-9800
Phone: 5702716211

VICTOR THEODORE MALLORY (NPI# 1316545304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316545304
Entity Type Individual
Full Name VICTOR THEODORE MALLORY
Credential PA-C
Practice Address 100 N Academy Ave
Danville
PA 17822-9800
Mailing Address 434 Jordan Hollow Rd
Dalton
PA 18414-9410
Practice Telephone 5702716211
Mailing Telephone 5706876769
Enumeration Date 2020-10-13
Last Update Date 2020-10-13
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 100 N ACADEMY AVE
City DANVILLE
State PA
Zip Code 17822-9800

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861495996 David J Salinger Radiology 100 N Academy Ave, Danville, PA 17822-2385 2005-05-23
1467053751 Geisinger Clinc Advanced Practice Midwife 100 N Academy Ave, Danville, PA 17822-4903 2020-11-04
1144829649 Felicia Mazzoni Sweeney Nurse Practitioner 100 N Academy Ave, Danville, PA 17822-9800 2020-10-26
1013516988 Julia Elizabeth Dawson Audiologist 100 N Academy Ave, Danville, PA 17822-0001 2020-10-21
1114525888 Madelyn Elise Stabinski Pharmacist 100 N Academy Ave, Danville, PA 17822-0001 2020-10-14
1578160412 Allison Nicole Hamner Pharmacist 100 N Academy Ave, Danville, PA 17822-0001 2020-10-05
1891392064 Kaitlyn Kishbaugh Speech-Language Pathologist 100 N Academy Ave, Danville, PA 17822-9800 2020-10-01
1174138150 Anna Marie Cruz Psychologist 100 N Academy Ave, Geisinger Medical Center, Danville, PA 17822-1335 2020-09-15
1649884933 Heather M Krohn Nurse Anesthetist, Certified Registered 100 N Academy Ave, Danville, PA 17822-9800 2020-09-03
1104430503 Kevin Michael Peno Physician Assistant 100 N Academy Ave, Danville, PA 17822-0001 2020-09-02
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366062895 Staci Lee Benoit Student in an Organized Health Care Education/Training Program 100 North Academy Avenue Geisinger Medical Center, Danville, PA 17822 2020-04-24
1275162018 Kristena Yossef Student in an Organized Health Care Education/Training Program Geisinger Medical Center, 100 North Academy Avenue, Da, Danville, PA 17822 2020-04-03
1003470444 Intekhab Askari Syed Ahmad Raza Student in an Organized Health Care Education/Training Program 100 North Academy Avenue, Geisinger Medical Center, Danville, PA 17822 2019-04-30
1841766334 Sarah Louise Dearment Counselor Geisinger Medical Center: Department of Psychiatry, 100 N. Academy Avenue, Danville, PA 17822 2018-10-23
1548753908 Josie Pervola Genetic Counselor, MS 100 N Academy Ave Mc-26-20, Danville, PA 17822 2018-06-11
1477059350 Martha Niemiec Counselor Geisinger Medical Center Department of Psychiatry, 100 North Academy Avenue, Danville, PA 17822 2018-04-01
1730625450 Nir Shimony Neurological Surgery 100 N. Academy Ave., Geisinger Medical Center, Neurosurgery Department, Danville, PA 17822 2017-01-19
1164877197 Britta Hunter Speech-Language Pathologist 100 N. Academy Ave., Danville, PA 17822 2016-04-27
1891180725 Zach Rottmann Internal Medicine Geisinger Medical Center, 100 North Academy Avenue, Danville, PA 17822 2015-03-30
1891063251 John D Chakan Pharmacist 1000 S Second St, Sunbury, PA 17822 2011-12-13
Find all providers in zip 17822

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134747959 Michelle Turner Physician Assistant 1095 N County Road 300 E, Danville, IN 46122-8651 2020-07-08
1427681535 Ann Humphrey Physician Assistant 30 Windward Dr, Danville, CA 94526-2341 2020-02-17
1134772288 Austin Simpson Physician Assistant 217 South 3rd Street, Danville, KY 40422 2019-07-18
1164086948 Matthew Hartman Physician Assistant 215 Kaitlyn Ln, Danville, CA 94506-4717 2019-04-26
1902370844 Lindsay Simmons Physician Assistant 167 Maddox Rd, Danville, AL 35619-6535 2019-01-14
1174007165 Caroline Federighi Physician Assistant 1320 El Capitan Dr Ste 200, Danville, CA 94526-6260 2018-09-17
1487136446 Mayura Raghavan Physician Assistant 221 Marigold St, Danville, CA 94506-4760 2018-09-05
1780180406 Megan Marie Allison Physician Assistant 100 Hospital Ln Ste 105, Danville, IN 46122 2018-04-02
1255745709 Nichole Louise Drilling Physician Assistant 1000 E. Main St., Danville, IN 46122 2014-06-12
1154762748 Justin B Cecil Physician Assistant 236 W Main St Ste 202, Danville, KY 40422-1876 2013-07-11
Find all providers in DANVILLE

Competitor

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City DANVILLE
Zip Code 17822

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Dataset Information

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.

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