MARY NAN MALLORY (NPI# 1427143874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427143874 |
| Entity Type | Individual |
| Full Name | MARY NAN MALLORY |
| Credential | M.D. |
| Practice Address |
530 S Jackson St Department of Emergency Medicine C1h17 Louisville KY 40202-1675 |
| Practice Telephone | 5028525689 |
| Practice Fax Number | 5028524701 |
| Mailing Telephone | 5028525689 |
| Mailing Fax Number | 5028524701 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2015-06-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 01039542A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200011050 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528442944 | Mary Mallory | Nurse Practitioner | 200 West Arbor, San Diego, CA 92103 | 2015-07-15 |
| 1174672125 | Mary Clare Mallory | Acupuncturist | 1952 Blue Mesa Ct, Loveland, CO 80538-4125 | 2007-01-09 |
| 1629587530 | Mary Mallory | Nurse Practitioner | 7202 Poplar St Ste E, Annandale, VA 22003-3025 | 2017-09-22 |
| 1801087796 | Mary L. Mallory | Nurse Practitioner | 401 Holly Hills Ave, Saint Louis, MO 63111-2410 | 2007-08-06 |
| 1174608392 | Mary Margaret Mallory | Nurse Practitioner | 1935 Motor St, %arms Clinic, Dallas, TX 75235-7701 | 2006-10-26 |
| Street Address |
530 S JACKSON ST DEPARTMENT OF EMERGENCY MEDICINE C1H17 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40202-1675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548264062 | Magdy A Abaskaron | Radiology | 530 S Jackson St, # C07, Louisville, KY 40202-1675 | 2005-06-13 |
| 1609476787 | Jessica Fuyumi Burns | Registered Nurse | 530 S Jackson St, Louisville, KY 40202-1675 | 2020-10-28 |
| 1881292548 | Elizabeth Ann Blandford | Nurse Practitioner | 530 S Jackson St, Louisville, KY 40202-1675 | 2020-10-15 |
| 1487252466 | Corey Dale Vogt | Physical Therapist | 530 S Jackson St, Louisville, KY 40202-1675 | 2020-10-13 |
| 1265046627 | Miranda Renea Pierce | Nurse Anesthetist, Certified Registered | 530 S Jackson St, Louisville, KY 40202-1675 | 2020-09-03 |
| 1568080679 | Thomas Matthew Sturgis | Physical Therapist | 530 S Jackson St, Louisville, KY 40202-1675 | 2020-07-07 |
| 1356965701 | Casey Marie Sullivan | Nurse Anesthetist, Certified Registered | 530 S Jackson St, Louisville, KY 40202-1675 | 2020-06-02 |
| 1255951083 | Teresa S Meurer | Registered Nurse | 530 S Jackson St, Louisville, KY 40202-1675 | 2020-04-22 |
| 1063032001 | Michael Dale Lance II | Nurse Anesthetist, Certified Registered | 530 S Jackson St, Louisville, KY 40202-1675 | 2020-04-20 |
| 1700405164 | Sayed Eyedn Khosrowshahi | Nurse Anesthetist, Certified Registered | 530 S Jackson St, Louisville, KY 40202-1675 | 2020-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129682 | Garvit Chhabra | Student in an Organized Health Care Education/Training Program | 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 | 2020-06-18 |
| 1396367009 | Richele Williams | Student in an Organized Health Care Education/Training Program | 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 | 2020-05-15 |
| 1942822028 | Ahmed Khaled Saleh | Student in an Organized Health Care Education/Training Program | 500 S Jackson St, Room 305, Louisville, KY 40202 | 2020-05-12 |
| 1457972952 | Mir Ali Raza Talpur | Student in an Organized Health Care Education/Training Program | 401 E Chestnut Street, Suite 600 University of Louisvi, Louisville, KY 40202 | 2020-05-06 |
| 1316575533 | Abigail Hatfield | Student in an Organized Health Care Education/Training Program | Internal Medicine Training Program, 550 South Jackson Street, Acb 3rd Floor, Louisville, KY 40202 | 2020-04-01 |
| 1851929210 | Madison Harmon | Student in an Organized Health Care Education/Training Program | Uofl Department of Emergency Medicine, 530 S. Jackson Street Room C1h17, Louisville, KY 40202 | 2020-03-31 |
| 1184252041 | Marianna Weaver | Student in an Organized Health Care Education/Training Program | 550 South Jackson Street, Acb 3rd Floor, University of Louisville, Louisville, KY 40202 | 2020-03-27 |
| 1700347341 | Charles Jake Sadle | Student in an Organized Health Care Education/Training Program | Office of Medical Education C/o Brittney Luckett, 571 S. Floyd St., Ste. 412, Louisville, KY 40202 | 2019-03-27 |
| 1437616794 | Paladina Health, LLC | Family Medicine | Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 | 2019-02-22 |
| 1205393568 | Paladina Health, LLC | Family Medicine | Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 | 2019-02-22 |
| Find all providers in zip 40202 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316332448 | Christopher Fenzel | Emergency Medicine | 1850 Bluegrass Avenue, Louisville, KY 40215 | 2015-04-06 |
| 1477963163 | Tiffany A Campbell | Emergency Medicine | 530 South Jackson St., #c1h17, Louisville, KY 40202 | 2014-05-02 |
| 1154748382 | Samuel Rume Aya | Emergency Medicine | 530 South Jackson St, #c1h17, Department of Emergency Medicine, Louisville, KY 40202 | 2014-03-26 |
| 1598039315 | Mary Barbara Sowers | Emergency Medicine | 611 Emery Rd, Louisville, KY 40206 | 2012-02-24 |
| 1821383944 | Shaun M Reynolds | Emergency Medicine | 530 S Jackson St # C1h17, Department of Emergency Medicine, U of Louisville, Louisville, KY 40202-1675 | 2011-06-16 |
| 1497071674 | Jordan Taylor Brown | Emergency Medicine | 10904 Keene Rd, Louisville, KY 40241-4860 | 2010-04-14 |
| 1366679342 | Devin Sandlin | Emergency Medicine | 1907 Stevens Ave, Louisville, KY 40205-1048 | 2009-06-17 |
| 1801023320 | Mark Timothy Scallon Rukavina | Emergency Medicine | 2400 Mellwood Ave, Apt 1003, Louisville, KY 40206-1061 | 2009-06-11 |
| 1962664961 | Amy Lynn Minix | Emergency Medicine | 3504 Birchmore Pl, Louisville, KY 40245-8475 | 2008-06-30 |
| 1912169673 | Valerie King | Emergency Medicine | 2779 Maple Rd, Louisville, KY 40205-1735 | 2008-06-25 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40202 |
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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.