WILLIAM JAMES MALLON (NPI# 1366437048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366437048 |
| Entity Type | Individual |
| Full Name | WILLIAM JAMES MALLON |
| Credential | M.D. |
| Practice Address |
120 William Penn Plz Durham NC 27704-2150 |
| Practice Telephone | 9192205255 |
| Practice Fax Number | 9193131276 |
| Mailing Telephone | 9192205255 |
| Mailing Fax Number | 9193131276 |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2012-06-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 39019 | NC | Allopathic & Osteopathic Physicians |
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
39019 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8953295 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013090885 | William Gunther Mallon | Nurse Anesthetist, Certified Registered | 2149 Found Lake Rd. Box 625, Saint Germain, WI 54558-0625 | 2006-10-23 |
| 1881635811 | William Kinney Mallon Jr. | Emergency Medicine | Stony Brook Medicine Dept of Emergency, Hsc, Level 4, Room 080, Stony Brook, NY 11794-8350 | 2006-06-09 |
| 1558737916 | William Mallon IIi | Counselor | 780 American Legion Hwy, Roslindale, MA 02131-3908 | 2015-08-19 |
| 1578982716 | William Mallon | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Montefiore Medical Center - Dept of Radiology, Bronx, NY 10467-2401 | 2014-04-15 |
| 1114976479 | William J. Mallon | Ophthalmology | 3500 Us Highway 1, Vero Beach, FL 32960-4511 | 2006-05-06 |
| Street Address |
120 WILLIAM PENN PLZ |
| City | DURHAM |
| State | NC |
| Zip Code | 27704-2150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376548420 | Laura Reed Gerstner | Physician Assistant | 120 William Penn Plz, Durham, NC 27704-2150 | 2005-06-16 |
| 1861093494 | Tyler Knabe | Physical Therapist | 120 William Penn Plz, Durham, NC 27704-2150 | 2020-11-02 |
| 1366059594 | Hope R Caddell | Physical Therapist | 120 William Penn Plz, Durham, NC 27704-2150 | 2020-10-01 |
| 1881203461 | Sarah Lynne Duncan | Physician Assistant | 120 William Penn Plz, Durham, NC 27704-2150 | 2020-07-29 |
| 1023504263 | Diana Lavinder Nguyen | Specialist/Technologist | 120 William Penn Plz, Durham, NC 27704-2150 | 2018-07-10 |
| 1902308976 | Mackenzie Mallrey Eldridge | Physical Therapist | 120 William Penn Plz, Durham, NC 27704-2150 | 2018-03-06 |
| 1659870319 | Alyssa Crumpton Flowers | Physical Therapist | 120 William Penn Plz, Durham, NC 27704-2150 | 2018-02-08 |
| 1871010819 | Jared John Carl Gersch | Physical Therapist | 120 William Penn Plz, Durham, NC 27704-2150 | 2017-08-29 |
| 1013437060 | Diana Marie Frank | Physical Therapist | 120 William Penn Plz, Durham, NC 27704-2150 | 2017-06-21 |
| 1194173096 | Mark Geise | Physical Therapist | 120 William Penn Plz, Durham, NC 27704-2150 | 2016-06-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245723139 | Devang Ashokbhai Patel | Dentist | 2609 N Duke St Ste 618, Durham, NC 27704 | 2018-06-14 |
| 1891201042 | Little Family Care Home, LLC | Custodial Care Facility | 1012 Davinci Street, Durham, NC 27704 | 2017-12-26 |
| 1033625702 | Tondra A Little | Social Worker | 2804 Nellowood Street, Durham, NC 27704 | 2017-12-18 |
| 1437502408 | Jhazmere Shamas Preston | Counselor | 2609 N. Duke St. Suite 403, Durham, NC 27704 | 2016-07-14 |
| 1649626656 | Professional Elevations Pllc | Case Manager/Care Coordinator | 304 Crutchfield Drive, Durham, NC 27704 | 2016-05-09 |
| 1083071617 | Alyssa Wilson | Speech-Language Pathologist | 215 William Penn Plz Apt 908, Durham, NC 27704 | 2016-01-27 |
| 1932565124 | Arthur Reynolds Jr and Associates P.l.l.c. | Dentist | 2106 N Duke St, Durham, NC 27704 | 2016-01-05 |
| 1962877720 | Chimere Brooks | Contractor | 4001meriwether Drive Apt P-19, Durham, NC 27704 | 2015-12-04 |
| 1184013294 | Danielle King | Physician Assistant | 3611 N Duke Street, Durham, NC 27704 | 2015-01-13 |
| 1730581901 | Images, 'of Me To You' | Community/Behavioral Health | 2823 Cascadilla Street, Durham, NC 27704 | 2014-09-19 |
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| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174763981 | Brett Andrew Fritsch | Orthopaedic Surgery | Duke Sports Medicine Ctr, 300 Frank Bassett Drive, Durham, NC 27710-0001 | 2009-03-06 |
| 1659818870 | Danny Arora | Orthopaedic Surgery | 3475 Erwin Rd, Durham, NC 27705-0005 | 2017-01-25 |
| 1144632894 | Private Diagnostic Clinic, Pllc | Orthopaedic Surgery | 3475 Erwin Rd, Durham, NC 27705-0005 | 2014-05-29 |
| 1043638505 | Kwadwo Adu Owusu-akyaw | Orthopaedic Surgery | 2301 Erwin Rd, Durham, NC 27710 | 2014-04-02 |
| 1730473869 | Private Diagnostic Clinic, Pllc | Orthopaedic Surgery | 4709 Creekstone Dr, Suite 300, Durham, NC 27703-8411 | 2011-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902241805 | Ian Al'khafaji | Orthopaedic Surgery | 2719 Reynolda Rd, Winston Salem, NC 27106 | 2013-05-06 |
| 1821354812 | Sunny Patel | Orthopaedic Surgery | 1234 Huffman Mill Rd Dept Of, Burlington, NC 27215 | 2012-04-04 |
| 1033366885 | Scotland Orthopedics, Pa | Orthopaedic Surgery | 410 D South Jones Street, Pembroke, NC 28372 | 2008-08-23 |
| 1437315165 | North Carolina Shoulder and Elbow Surgery and Sports Medicine | Orthopaedic Surgery | 900 North Howe St, Southport, NC 28461 | 2008-08-01 |
| 1750542411 | Abby B. Maxwell | Orthopaedic Surgery | 3 Mcdowell St, Suite B, Asheville, NC 28801-4103 | 2008-06-24 |
| 1518130418 | Jeffrey Tweed Spang | Orthopaedic Surgery | University of North Carolina Hospital, Cb# 7055, Chapel Hill, NC 27599-7055 | 2008-04-11 |
| 1184746810 | Kevin Leo Krasinski | Orthopaedic Surgery | 1236 Huffman Mill Rd Ste 1300, Burlington, NC 27215-8700 | 2007-04-04 |
| 1285748970 | Statesville Hma Physician Management, Inc | Orthopaedic Surgery | 340 Signal Hill Dr, Suite A, Statesville, NC 28625-4357 | 2006-08-18 |
| 1467461566 | Timothy Ned Taft | Orthopaedic Surgery | 3154 Bioinformatics Bldg, Cb # 7055 Unc, Chapel Hill, NC 27599-0001 | 2006-08-07 |
| 1447283619 | Private Diagnostic Clinic, Pllc | Orthopaedic Surgery | 5620 Six Forks Rd, Suite 104, Raleigh, NC 27609-8619 | 2006-07-09 |
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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.