DR. CHARLES DENNIS MALONEY (NPI# 1831235001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831235001 |
Entity Type | Individual |
Full Name | DR. CHARLES DENNIS MALONEY |
Credential | M.D. |
Practice Address |
4625 S Emerson Ave Indianapolis IN 46203-5972 |
Practice Telephone | 3175222303 |
Practice Fax Number | 3175222304 |
Mailing Telephone | 3175222303 |
Mailing Fax Number | 3175222304 |
Enumeration Date | 2007-01-29 |
Last Update Date | 2013-04-18 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208200000X | Plastic Surgery | 01023354A | IN | Allopathic & Osteopathic Physicians |
Y | 208D00000X | General Practice | 01023354A | IN | Allopathic & Osteopathic Physicians |
Street Address |
4625 S EMERSON AVE |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46203-5972 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124131826 | Terry Joe Tolle | Chiropractor | 4625 S Emerson Ave, Indianapolis, IN 46203-5972 | 2006-08-16 |
1760027890 | Kids & Adult Dental Care Inc | Clinic/Center | 4625 S Emerson Ave, Indianapolis, IN 46203-5972 | 2019-11-13 |
1689218224 | Aspen Michelle Holmes | Physical Therapist | 4625 S Emerson Ave, Indianapolis, IN 46203-5972 | 2019-11-06 |
1093214793 | Hank Havlin | Physical Therapist | 4625 S Emerson Ave, Indianapolis, IN 46203-5972 | 2018-02-08 |
1881977288 | Steven Ryan Hart | Chiropractor | 4625 S Emerson Ave, Indianapolis, IN 46203-5972 | 2011-09-21 |
1003115957 | Emerson Physical Medicine Inc | Physical Medicine & Rehabilitation | 4625 S Emerson Ave, Indianapolis, IN 46203 | 2011-03-17 |
1609190842 | Indy Pain & Injury Centers LLC | Family Medicine | 4625 S Emerson Ave, Indianapolis, IN 46203-5972 | 2010-03-17 |
1912139841 | Bacsa Dental PC | Preferred Provider Organization | 4625 S Emerson Ave, Indianapolis, IN 46203-5972 | 2009-08-11 |
1023253861 | Health1st of Indy South | Chiropractor | 4625 S Emerson Ave, Indianapolis, IN 46203-5972 | 2008-12-09 |
1497839450 | Billy Lee Walker Jr. | Physician Assistant | 4625 S Emerson Ave, Indianapolis, IN 46203-5972 | 2006-10-25 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194362665 | Yvonne Irene Wince | Pharmacist | 608 Twin Aire Dr, Indianapolis, IN 46203 | 2019-12-04 |
1730635681 | Kensie Waller | Registered Nurse | 3834 S. Emerson Ave, Bldg C, Ste 100, Indianapolis, IN 46203 | 2016-08-31 |
1629285820 | 21st Century Charter School At Fountain Square | Local Education Agency (LEA) | 1615 South Barth Ave, Indianapolis, IN 46203 | 2007-05-17 |
1912124918 | Richard Walter James | Chiropractor | 3850 S Emerson, Suite F, Indianapolis, IN 46203 | 2007-04-19 |
1245386655 | Gary Richard Billingsley | Chiropractor | 4940 S Emerson Ave, Indianapolis, IN 46203 | 2007-01-26 |
1952452815 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 2630 S Keystone Ave, Indianapolis, IN 46203 | 2007-01-16 |
1245324755 | Rtc Resource Acq Corp | Residential Treatment Facility, Emotionally Disturbed Children | 1404 South State Avenue, Indianapolis, IN 46203 | 2006-10-02 |
1548776925 | Erin Tofani | Nurse Practitioner | 3834 S Emerson Ave, Building C, Suite 100, Indianapolis, IN 46203 | 2017-12-20 |
1114464575 | Abigail G Boris | Registered Nurse | 3834 S Emerson Ave, Bldg C Ste 100, Indianapolis, IN 46203 | 2017-01-24 |
1285184481 | Kelli Joy Bovenkerk | Nurse Practitioner | 3834 S Emerson Ave, Building C, Suite 100, Indianapolis, IN 46203 | 2016-10-12 |
Find all providers in zip 46203 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851911945 | Regen 360 Indy LLC | General Practice | 70 E 91st St Ste 101, Indianapolis, IN 46240-1550 | 2020-04-20 |
1518445089 | Allied Wellness Group | General Practice | 8202 Clearvista Pkwy Ste 9f, Indianapolis, IN 46256-1457 | 2018-08-06 |
1114405008 | People Nurturing People, Inc | General Practice | 3640 Watson Rd, Indianapolis, IN 46205-3562 | 2018-08-01 |
1215433420 | Sean Andrew Koerner | General Practice | 9465 Counselors Row Ste 200, Indianapolis, IN 46240-3817 | 2018-04-05 |
1851740302 | Calmare Treatment Center | General Practice | 5135 S Emerson Ave Ste C, Indianapolis, IN 46237-1967 | 2016-06-06 |
1518326248 | Afc Physicians of Indiana PC | General Practice | 7411 N. Keystone Ave., Suite B, Indianapolis, IN 46240-3375 | 2016-02-23 |
1104211929 | Elizabeth Starr Parkin | General Practice | 11834 Sea Star Dr, Indianapolis, IN 46256-9647 | 2015-03-30 |
1871931881 | Janel Lorrie Lewis | General Practice | 11550 Boone Dr, Indianapolis, IN 46229-9606 | 2013-06-12 |
1548604812 | James Grant Armstrong | General Practice | 3633 E 71st St, Indianapolis, IN 46220-3715 | 2013-04-17 |
1891016812 | Albert Franklin Crumley | General Practice | 416 Daffon Dr, Indianapolis, IN 46227-2702 | 2010-06-14 |
Find all providers in INDIANAPOLIS |
City | INDIANAPOLIS |
Zip Code | 46203 |
Please comment or provide details below to improve the information on DR. CHARLES DENNIS MALONEY.
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.