DR. VIC M. MALABONGA (NPI# 1558477265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558477265 |
| Entity Type | Individual |
| Full Name | DR. VIC M. MALABONGA |
| Credential | MD |
| Practice Address |
1901 S 1st St Temple TX 76504-7451 |
| Practice Telephone | 2547430984 |
| Practice Fax Number | 2547430117 |
| Mailing Telephone | 2547430984 |
| Mailing Fax Number | 2547430117 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
J5396 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
1901 S 1ST ST |
| City | TEMPLE |
| State | TX |
| Zip Code | 76504-7451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194332858 | Lindsey Theda | Dentist | 1901 S 1st St, Temple, TX 76504-7451 | 2020-09-28 |
| 1003441890 | Ethan Suh | Dentist | 1901 S 1st St, Temple, TX 76504-7451 | 2020-03-11 |
| 1598309759 | Kayla A Bunn | Registered Nurse | 1901 S 1st St, Temple, TX 76504-7451 | 2019-10-31 |
| 1720630478 | Samrat Shrestha | Pharmacist | 1901 S 1st St, Temple, TX 76504-7451 | 2019-07-12 |
| 1396203725 | Latasha T Merkerson-miller | Counselor | 1901 S 1st St, Temple, TX 76504-7451 | 2019-03-05 |
| 1205305075 | Paul Lanciault | Orthotist | 1901 S 1st St, Temple, TX 76504-7451 | 2018-11-21 |
| 1790278497 | Shaylise Ellis | Nurse Practitioner | 1901 S 1st St, Temple, TX 76504-7451 | 2018-06-07 |
| 1558874131 | Kellyn Marie Czajkowski | Dietitian, Registered | 1901 S 1st St, Temple, TX 76504-7451 | 2017-11-06 |
| 1124553805 | Stephanie Carter | Nurse Practitioner | 1901 S 1st St, Temple, TX 76504-7451 | 2017-05-01 |
| 1578013835 | Steven Braun | Pharmacist | 1901 S 1st St, Temple, TX 76504-7451 | 2016-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194243717 | Courtenay A Eddins | Occupational Therapy Assistant | 2010 Sw H K Dodgen Loop #201, Temple, TX 76504 | 2017-09-04 |
| 1891213500 | Melody Woods | Physical Therapy Assistant | 2010 Sw Hk Dodgen Loop, Suite 201, Temple, TX 76504 | 2017-09-01 |
| 1194255992 | Elizabeth Ford | Radiology | 202 Woodbridge Blvd 247, Temple, TX 76504 | 2017-06-14 |
| 1790223055 | Dinella Quinones | Specialist/Technologist | 2010 Sw Hkdodgen Loop, Suite 201, Temple, TX 76504 | 2017-02-07 |
| 1194277400 | Trina Morton | Specialist | 5297 S 31st Suite117a, Temple, TX 76504 | 2016-11-03 |
| 1134570922 | Plains Er Management Temple Ltd | Clinic/Center | 1551 W. Central Ave, Temple, TX 76504 | 2016-06-23 |
| 1962853770 | Express Er Temple, P.a. | Emergency Medicine | 1551 W. Central Avenue, Temple, TX 76504 | 2016-06-23 |
| 1306262548 | Nancy Lynne Sykes | Counselor | 2027 S 61st St Ste 121, Temple, TX 76504 | 2014-03-12 |
| 1972930683 | Taneka L Patrick | Social Worker | 2820 W Avenue O Ste B, Temple, TX 76504 | 2013-09-27 |
| 1255645990 | Mary Jane Ireland | Nurse Practitioner | 1901 Veterans Memorial Blvd, Temple, TX 76504 | 2010-08-05 |
| Find all providers in zip 76504 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790954758 | Peter Yau | Internal Medicine | 8523 Oak Xing, Temple, TX 76502-5156 | 2008-02-25 |
| 1346770955 | Marcus Lane Miller | Internal Medicine | 2401 S 31st St, Temple, TX 76508-0001 | 2017-06-15 |
| 1457594863 | Bhupinder Sangha | Internal Medicine | 2401 S 31st St, Temple, TX 76508-0001 | 2009-04-15 |
| 1265682181 | Whitney Shea Prince | Internal Medicine | 2401 S 31st St, Temple, TX 76508-0001 | 2008-09-27 |
| 1942418249 | Pedro Quiroga | Internal Medicine | 2401 S 31st St, Temple, TX 76508-4948 | 2007-05-18 |
| 1285725366 | Madhavan Nampoothiri | Internal Medicine | 1901 S 1st St, Temple, TX 76504-7451 | 2006-09-27 |
| 1750304200 | Shirley Fong Jones | Internal Medicine | 2401 S 31st St, Temple, TX 76508-0001 | 2006-07-25 |
| 1437104122 | Jorge Francisco Velazco | Internal Medicine | 2401 S 31st St, Temple, TX 76508-0001 | 2006-05-23 |
| 1366412090 | Shekhar A Ghamande | Internal Medicine | 2401 S 31st St, Temple, TX 76508-0001 | 2006-01-25 |
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|---|---|---|---|---|
| 1225647423 | Fivestar Pulmonary Associates Pllc | Internal Medicine | 981 State Hwy 121, Ste 3100, Allen, TX 75013 | 2020-07-24 |
| 1821586454 | Alfredo Conde Md Pllc | Internal Medicine | 8038 Wurzbach Rd Ste 210, San Antonio, TX 78229-3812 | 2018-04-30 |
| 1629581467 | The Lung Consultants LLC | Internal Medicine | 1325 Pennsylvania Ave Ste 370, Fort Worth, TX 76104-2110 | 2017-11-15 |
| 1902315534 | Javier Cabello, Md Pa | Internal Medicine | 4605 Park Bnd, Harlingen, TX 78552-2874 | 2017-09-27 |
| 1750815742 | Katy Endocrine Clinic Pa | Internal Medicine | 28431 Tall Juniper Hill Dr, Katy, TX 77494-1957 | 2017-04-17 |
| 1225411309 | Ms Medical Consultants, Pllc | Internal Medicine | 2100 W 18th St, Weslaco, TX 78596-4983 | 2015-07-07 |
| 1871976084 | Ammar Halloum Sallora, Md, Pllc | Internal Medicine | 2706 Pinehurst Dr, Harlingen, TX 78550-8697 | 2015-07-07 |
| 1174924450 | David Maldonado IIi Md Pa | Internal Medicine | 6551 Harris Pkwy Ste 250, Fort Worth, TX 76132-6115 | 2014-09-05 |
| 1679993562 | Jess Anderson | Internal Medicine | 3551 Roger Brooke Dr Apt 3, San Antonio, TX 78234-4505 | 2014-04-18 |
| 1609208768 | Infectious Disease & Pulmonary Consultants, Pllc | Internal Medicine | 2710 Hospital Dr Ste 310, Victoria, TX 77901-5743 | 2013-07-31 |
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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.