MARCIO HENRIQUE MALOGOLOWKIN (NPI# 1457451270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457451270 |
| Entity Type | Individual |
| Full Name | MARCIO HENRIQUE MALOGOLOWKIN |
| Credential | MD |
| Practice Address |
2516 Stockton Blvd Sacramento CA 95817-2208 |
| Practice Telephone | 9167342781 |
| Mailing Telephone | 9167342781 |
| Mailing Fax Number | 9164513014 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
A49278 | CA | Allopathic & Osteopathic Physicians |
| N | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
57273-20 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A492780 | 05 | |
| CA | CAL OPTIMA | 00A492780 G15 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9000 W Wisconsin Ave, Childrens Hospital of Wisconsin, Milwaukee, WI 532264874 | 4149554170 | 4149556543 |
| Street Address |
2516 STOCKTON BLVD |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95817-2208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154323715 | Mikla Nina Derlet | Pediatrics | 2516 Stockton Blvd, Department of Pediatrics, Sacramento, CA 95817-2208 | 2005-08-12 |
| 1265051411 | Terence Jordan Ellis | Student in an Organized Health Care Education/Training Program | 2516 Stockton Blvd, Sacramento, CA 95817-2208 | 2020-04-08 |
| 1124656053 | Alisha Mathalikunnel | Student in an Organized Health Care Education/Training Program | 2516 Stockton Blvd, Sacramento, CA 95817-2208 | 2020-03-27 |
| 1881221901 | Anna Elizabeth Lepkowski | Student in an Organized Health Care Education/Training Program | 2516 Stockton Blvd, Sacramento, CA 95817-2208 | 2020-03-26 |
| 1265069595 | Sharon Malwane | Student in an Organized Health Care Education/Training Program | 2516 Stockton Blvd, Sacramento, CA 95817-2208 | 2020-03-25 |
| 1134756703 | Christina Lynn Callas | Student in an Organized Health Care Education/Training Program | 2516 Stockton Blvd, Sacramento, CA 95817-2208 | 2020-03-24 |
| 1134755135 | Howard Russell Sanders | Student in an Organized Health Care Education/Training Program | 2516 Stockton Blvd, Sacramento, CA 95817-2208 | 2020-03-21 |
| 1851927867 | Lidia Park | Student in an Organized Health Care Education/Training Program | 2516 Stockton Blvd, Sacramento, CA 95817-2208 | 2020-03-21 |
| 1871129882 | Erika Cherk | Student in an Organized Health Care Education/Training Program | 2516 Stockton Blvd, Sacramento, CA 95817-2208 | 2020-03-21 |
| 1093341091 | Pritha Pavi Multani | Student in an Organized Health Care Education/Training Program | 2516 Stockton Blvd, Sacramento, CA 95817-2208 | 2020-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346855103 | Quintin Kuse | Student in an Organized Health Care Education/Training Program | 4610 X Street, Sacramento, Sacramento, CA 95817 | 2020-09-09 |
| 1285259283 | Uc Davis Health | Dietitian, Registered | 2315 Stockton Blvd Sesp 0160, Sacramento, CA 95817 | 2020-06-15 |
| 1942840558 | Michael Marchand-gareau | Ophthalmology | Michael Marchand - Uc Davis Eye Center, 4860 Y Street, Suite 2400, Sacramento, CA 95817 | 2020-01-11 |
| 1467010728 | Jiunn Liang Jonathan Yap | Student in an Organized Health Care Education/Training Program | 4860 Y Str, Ste. 2820, Sacramento, CA 95817 | 2019-06-03 |
| 1083176614 | Kevin Lee | Student in an Organized Health Care Education/Training Program | 2315 Stockton Blvd, Op512, Sacramento, CA 95817 | 2019-04-02 |
| 1508326703 | Ritika Johal | Student in an Organized Health Care Education/Training Program | 4150 V Street, Pssb 1200, Sacramento, CA 95817 | 2019-03-22 |
| 1811468838 | Paige Palsgaard | Behavior Technician | 6730 4th Ave Apt 1731d, Sacramento, CA 95817 | 2018-12-17 |
| 1922503408 | Marie Rossi | Student in an Organized Health Care Education/Training Program | 4150 V Street #1100, Sacramento, CA 95817 | 2018-03-27 |
| 1639673791 | Sean Lam | Student in an Organized Health Care Education/Training Program | 4150 V Street #1200, Sacramento, CA 95817 | 2018-03-22 |
| 1124555388 | Tatyana Polyak | Surgery | 2335 Stockton Blvd., Naob 6th Floor, Sacramento, CA 95817 | 2017-05-18 |
| Find all providers in zip 95817 | ||||
| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| 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/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679762140 | Kieran Joseph Fitzpatrick | Pediatrics | 3155 Clairidge Way, Sacramento, CA 95821-3921 | 2007-10-19 |
| 1942494844 | Noriko Satake | Pediatrics | 2521 Stockton Blvd Fl 3, Pediatric Specialty Clinic, Glassrock Bldg, Sacramento, CA 95817-2207 | 2007-09-04 |
| 1386276954 | Jaclyn Mary Rice | Pediatrics | 2279 45th St, Sacramento, CA 95817-1514 | 2020-02-11 |
| 1023286002 | Arun Ranjan Panigrahi | Pediatrics | 2516 Stockton Blvd, Sacramento, CA 95817-2208 | 2008-02-13 |
| 1194858936 | Saunders Charles Hsu | Pediatrics | 5275 F Street, Sacramento, CA 95819 | 2007-03-13 |
| 1700943131 | Northern Calif Childrens Hematology & Oncology Med Grp Inc | Pediatrics | 5030 J Street, Suite 200, Sacramento, CA 95819 | 2007-01-03 |
| 1083701007 | Yung Yim | Pediatrics | 5275 F Street, Sacramento, CA 95819 | 2006-10-10 |
| 1356379556 | Yisheng Lee | Pediatrics | 5275 F Street, Sacramento, CA 95819 | 2006-06-28 |
| 1114901303 | Pat C Hardy | Pediatrics | 2516 Stockton Blvd, Department of Pediatrics 3rd Floor, Sacramento, CA 95817-2208 | 2005-12-01 |
| 1780667790 | Douglas Scott Taylor | Pediatrics | 2521 Stockton Blvd, Peds Hem/onc Clinic, 3rd Floor, Sacramento, CA 95817-2207 | 2005-11-23 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95817 |
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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.