MARY MALICKI (NPI# 1518041490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518041490 |
| Entity Type | Individual |
| Full Name | MARY MALICKI |
| Credential | ACNP |
| Practice Address |
30 Medicine Cir Box 3872 Durham NC 27710-0001 |
| Mailing Address |
2100 Erwin Rd Duke University Medical Center - Dumc 3872 Durham NC 27710-0001 |
| Practice Telephone | 9196204467 |
| Mailing Telephone | 9196848964 |
| Mailing Fax Number | 9196845325 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2013-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
960035 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
30 MEDICINE CIR BOX 3872 |
| City | DURHAM |
| State | NC |
| Zip Code | 27710-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649517616 | Duke Hospital Outpatient Clinic | Clinic/Center | 30 Medicine Cir, Durham, NC 27710-0001 | 2013-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255978334 | Anna Rapoport | Nurse Practitioner | Duke Medicine Center, 40 Duke Medicine Circle, Durham, NC 27710 | 2019-12-08 |
| 1649764846 | Kelly Johanna Valencia | Nurse Practitioner | 2301 Erwin Road Duke North Box # 3677, Durham, NC 27710 | 2018-06-20 |
| 1437656717 | Hugh Khoi Quach | Student in an Organized Health Care Education/Training Program | 2301 Erwin Road, Durham, Durham, NC 27710 | 2018-04-12 |
| 1154827046 | Shannon M Beeley | Registered Nurse | Duke Rheumatology Clinic 40 Medicine Circle Cinic 1j, Durham, NC 27710 | 2018-04-01 |
| 1669902862 | Hilary Kristina Dietz | Student in an Organized Health Care Education/Training Program | 30 Duke Medicine Circle Drive, Morris Building Room 25169, Durham, NC 27710 | 2017-06-20 |
| 1174071443 | Gabriel Streisfeld | Physical Therapist | 2301 Erwin Rd Dumc 3965, Durham, NC 27710 | 2016-09-15 |
| 1568810505 | Amber Mcvey | Nurse Practitioner | 04276 Hospital South Box 3677, Durham, NC 27710 | 2016-06-01 |
| 1891149696 | Tiziana T Coppola | Student in an Organized Health Care Education/Training Program | 2301 Erwin Rd, Durham, NC 27710 | 2016-04-18 |
| 1568822864 | Nicole Smith | Nurse Practitioner | 2301 Erwin Rd Box 3116, Durham, NC 27710 | 2016-02-29 |
| 1548656150 | Jesse David Rhodes | Hospitalist | Hospital Medicine, Duke University Hospital, 40 Duke Medicine Circle, Durham, NC 27710 | 2015-04-09 |
| Find all providers in zip 27710 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154955995 | Mohamed Sobhy Elhusseini Yassin | Internal Medicine | 2400 Pratt St Ste 5000, Durham, NC 27705-3976 | 2020-03-02 |
| 1164944377 | David Michael Ashley | Internal Medicine | Department of Neurosurgery Duke University Ctr, Durham, NC 27710-0001 | 2017-07-10 |
| 1407389455 | Ryan Rader | Internal Medicine | 40 Duke Medicine Cir # 1e, Durham, NC 27710-4000 | 2017-04-06 |
| 1275826737 | Jeremy Force | Internal Medicine | 10 Bryan Searle Drive Seeley Mudd Building Room 449b, Durham, NC 27710-2859 | 2011-05-17 |
| 1124276845 | Sandra L Silberman | Internal Medicine | 207 Booth Meadow Ln, Durham, NC 27713-5810 | 2008-09-06 |
| 1427239037 | Syed Yousuf Zafar | Internal Medicine | Dumc 3505, 10 Bryan Searle Dr, Mudd Bldg Rm 432, Durham, NC 27710-0001 | 2007-11-26 |
| 1770785370 | North Carolina Oncology Associates | Internal Medicine | 4411 Ben Franklin Blvd, Durham, NC 27704-2147 | 2007-06-05 |
| 1760694327 | Joseph Donadio | Internal Medicine | 140 Blue Hills Rd, Durham, CT 06422-3100 | 2007-05-04 |
| 1386771764 | Thomas R Kinney | Internal Medicine | Dumc 3127, Durham, NC 27710-0001 | 2007-02-27 |
| 1811050693 | Lauren Stafford | Internal Medicine | 1400 Morreene Rd, Durham, NC 27705-4500 | 2006-12-19 |
| Find all providers in DURHAM | ||||
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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.