TIMOTHY R MALLOY (NPI# 1902855919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902855919 |
| Entity Type | Individual |
| Full Name | TIMOTHY R MALLOY |
| Credential | MD |
| Practice Address |
988102 Nebraska Medical Ctr Omaha NE 68198-8102 |
| Practice Telephone | 4025597200 |
| Practice Fax Number | 4025599344 |
| Mailing Telephone | 4025597200 |
| Mailing Fax Number | 4025599344 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2011-06-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
17506 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | NE LICENSE | 17506 | 01 |
| Street Address |
988102 NEBRASKA MEDICAL CTR |
| City | OMAHA |
| State | NE |
| Zip Code | 68198-8102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780681940 | Stephanie Ann Kasper | Nurse Anesthetist, Certified Registered | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2005-07-02 |
| 1306396270 | Jill Marie Strahm | Nurse Practitioner | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2016-10-04 |
| 1700330719 | Mary Ursick | Nurse Practitioner | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2016-08-08 |
| 1306203088 | Kyla Jerrick | Nurse Practitioner | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2016-01-26 |
| 1922464700 | Bridgett Marie Searls | Nurse Practitioner | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2016-01-08 |
| 1417313669 | Amal Sufian | Internal Medicine | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2016-01-04 |
| 1538533252 | Maggie Marie Conley | Nurse Practitioner | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2015-11-18 |
| 1063882413 | Sydnie Luther | Nurse Practitioner | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2015-09-28 |
| 1245609122 | Rachael Leigh Schmidt | Nurse Practitioner | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2015-09-21 |
| 1053795641 | Deborah Pittock | Social Worker | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2015-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881259646 | Grant Saltzgaber | Family Medicine | Unmc Dept. of Family Medicine, 983075 Nebraska Medical Center, Omaha, NE 68198 | 2019-05-07 |
| 1215590468 | Elizabeth Farrell | Counselor | 42nd @ Dewey, Omaha, NE 68198 | 2019-04-15 |
| 1073033981 | Daniel Ryan Mcdonald | Anesthesiology | 984150 Nebraska Medical Center, Omaha, NE 68198 | 2017-06-21 |
| 1194258764 | Bryan Baker | Student in an Organized Health Care Education/Training Program | 986155 Nebraska Medical Ctr, Omaha, NE 68198 | 2017-04-10 |
| 1063862779 | Evin Lackore | Pediatrics | Unmc Pediatrics Residency Program, 982185 Nebraska Medical Center, Omaha, NE 68198 | 2016-06-14 |
| 1710361233 | Rahul Dhawan | Student in an Organized Health Care Education/Training Program | 982265 Nebraska Medical Center, Omaha, NE 68198 | 2015-07-14 |
| 1295129757 | Brandon Mark Bennett | Student in an Organized Health Care Education/Training Program | 985640 Nebraska Medical Ctr, Omaha, NE 68198 | 2015-03-23 |
| 1083029151 | Ashley Nelson | Pediatrics | 982185 Nebraska Medical Center, Omaha, NE 68198 | 2014-06-26 |
| 1013205590 | Urmila Mukherjee | Internal Medicine | 989500 Nebraska Medical Ctr, Omaha, NE 68198 | 2011-07-18 |
| 1184943037 | Melissa Teply | Internal Medicine | 989500 Nebraska Medical Center, Omaha, NE 68198 | 2010-05-18 |
| Find all providers in zip 68198 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| 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 Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598883407 | Wesley Alan Stephens | Family Medicine | 10905 Cottonwood Ln, Omaha, NE 68164-3715 | 2007-03-27 |
| 1922013531 | Heather M Morgan | Family Medicine | 16909 Lakeside Hills Ct, Suite 300, Omaha, NE 68130-4664 | 2006-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942228820 | Physician Homecare Associates | Family Medicine | 51 Ginger Woods Rd, Valley, NE 68064-9404 | 2006-07-18 |
| 1548347891 | Mark Allen Tompkins | Family Medicine | 2300 W Capital Ave, Grand Island, NE 68803-2003 | 2006-11-01 |
| 1992723886 | Bernard C Hillyer | Family Medicine | 51 Ginger Woods Rd, Valley, NE 68064-9404 | 2006-07-18 |
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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.