RAOUL Y MALONZO (NPI# 1457445686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457445686 |
| Entity Type | Individual |
| Full Name | RAOUL Y MALONZO |
| Credential | M.D. |
| Practice Address |
252 Rural Acres Dr Beckley WV 25801-3503 |
| Practice Telephone | 3042528551 |
| Practice Fax Number | 3042521790 |
| Mailing Telephone | 3042528551 |
| Mailing Fax Number | 3042521790 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 13373 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNITEDHEALTHCARE | 288993 | 01 | |
| WV | A13373 | 05 | |
| WV | 0112567000 | 05 | |
| CARELINK | 205836 | 01 | |
| WV | 14868 | 05 | |
| HEALTH NET | E59903 | 01 |
| Street Address |
252 RURAL ACRES DR |
| City | BECKLEY |
| State | WV |
| Zip Code | 25801-3503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386682540 | Community Health Systems Inc | Pharmacy | 252 Rural Acres Dr, Beckley, WV 25801-3503 | 2006-06-02 |
| 1538785498 | Madison Chase Mccreary | Student in an Organized Health Care Education/Training Program | 252 Rural Acres Dr, Beckley, WV 25801-3503 | 2020-06-17 |
| 1922624881 | Evan Muscari | Student in an Organized Health Care Education/Training Program | 252 Rural Acres Dr, Beckley, WV 25801-3503 | 2020-06-17 |
| 1720604689 | Stevan Hartman | Student in an Organized Health Care Education/Training Program | 252 Rural Acres Dr, Beckley, WV 25801-3503 | 2020-06-17 |
| 1770109639 | Rebekah Quinn | Student in an Organized Health Care Education/Training Program | 252 Rural Acres Dr, Beckley, WV 25801-3503 | 2020-06-17 |
| 1023674728 | Lanny Meadows | Student in an Organized Health Care Education/Training Program | 252 Rural Acres Dr, Beckley, WV 25801-3503 | 2019-05-17 |
| 1700442407 | Michael Gray | Student in an Organized Health Care Education/Training Program | 252 Rural Acres Dr, Beckley, WV 25801-3503 | 2019-05-17 |
| 1568028264 | Hannah Mick | Student in an Organized Health Care Education/Training Program | 252 Rural Acres Dr, Beckley, WV 25801-3503 | 2019-05-17 |
| 1033775739 | Tyler Salisbury | Student in an Organized Health Care Education/Training Program | 252 Rural Acres Dr, Beckley, WV 25801-3503 | 2019-05-17 |
| 1740765882 | Jacob Ross Lilly | Pharmacist | 252 Rural Acres Dr, Beckley, WV 25801-3503 | 2018-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144835190 | Misty Dawn Chambers | Psychologist | 154 Lagoon Way, Beckley, USA 25801 | 2020-09-15 |
| 1912511437 | Katherine Lynne Mcghee | Technician | 120 Schlager Dr., Beckley, WV 25801 | 2020-09-02 |
| 1255942421 | Tyesha Burger | Technician | 442 Industrial Dr, Beckley, WV 25801 | 2020-08-12 |
| 1053920553 | Angela Sanches | Case Manager/Care Coordinator | 134 Gooseberry Ln, Beckley, WV 25801 | 2020-07-30 |
| 1871119933 | Tiffani Michelle Dale | Counselor | 111 Coral Court, Apt 5, Beckley, WV 25801 | 2020-06-24 |
| 1679046049 | Liberty Dental Centers | Dentist | 102 Galleria Plaza, Beckley, WV 25801 | 2019-01-08 |
| 1952884942 | Susan Rae Rash | Nurse Practitioner | 250 Stanaford Rd Ste 203, Beckley, WV 25801 | 2018-09-14 |
| 1689169039 | Megan Rae Walker | Dentist | 3153 Robert C. Byrd Drive, Beckley, WV 25801 | 2018-06-28 |
| 1104318625 | Mountain State Vascular, Inc. | Surgery | 121 George Street, Beckley, WV 25801 | 2018-05-31 |
| 1356841100 | Harper Road Treatment Center LLC | Family Medicine | 1802 Harper Rd Ste 202, Beckley, WV 25801 | 2018-02-19 |
| Find all providers in zip 25801 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689759532 | Saraswathi Mohan | Pediatrics | 194 Carriage Dr, Beckley, WV 25801-2804 | 2006-10-26 |
| 1487699542 | Beckley Pediatric Associates Ltd | Pediatrics | 30 Mallard Ct, Beckley, WV 25801-3664 | 2006-06-20 |
| 1922003318 | John H Johnson | Pediatrics | 30 Mallard Court, Beckley, WV 25801-3140 | 2005-06-14 |
| 1700103140 | Erica Jayne Tuckwiller | Pediatrics | 30 Mallard Ct, Beckley, WV 25801-3664 | 2010-04-26 |
| 1730330929 | Michele D. Staton Md Pllc | Pediatrics | 2401 S Kanawha St, Suite 110a, Beckley, WV 25801-6967 | 2008-10-06 |
| 1609080761 | Amira I Khokar | Pediatrics | 1710 Harper Rd, Beckley, WV 25801-3397 | 2007-05-09 |
| 1225258775 | Pediatric Care Unlimited, Inc. | Pediatrics | 230 George St, Suite 4, Beckley, WV 25801-2620 | 2007-04-26 |
| 1700978319 | Stacey D Dickenson | Pediatrics | 252 Rural Acres Dr, Beckley, WV 25801-3503 | 2006-09-29 |
| 1295827814 | Kim D Bennett | Pediatrics | 252 Rural Acres Dr, Beckley, WV 25801-3503 | 2006-09-29 |
| 1326141391 | Michele Dawn Staton | Pediatrics | 2401 S Kanawha St, Suite 110a, Beckley, WV 25801-6967 | 2006-09-06 |
| Find all providers in BECKLEY | ||||
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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.