Mark M Malicki (NPI# 1083619209, PAC ID# 1658495767) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1083619209 |
PAC ID by PECOS | 1658495767 |
Professional Enrollment ID | I20100826000274 |
Full Name | Mark M Malicki |
Organization Legal Name | VANTAGE PHYSICAL THERAPY AND REHABILITATION INC |
Address |
311 Warren St Suite 200 Johnstown PA 15905-3444 |
Phone Number | 8142883617 |
Gender | M |
Medical School | JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY |
Graduation Year | 1997 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 3072424886 |
Number of Group Practice Members | 46 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
390110 | CONEMAUGH MEMORIAL MEDICAL CENTER |
390112 | WINDBER HOSPITAL |
390039 | SOMERSET HOSPITAL |
Address | Phone | Organization |
---|---|---|
311 Warren St, Suite 200, Johnstown, PA 15905-3444 | 8142883617 | VANTAGE PHYSICAL THERAPY AND REHABILITATION INC |
322 Warren St, Suite 300, Johnstown, PA 15905-3443 | 8142884498 | RICHARD M KASTELIC MD AND ASSOC PC |
Organization Legal Name | VANTAGE PHYSICAL THERAPY AND REHABILITATION INC |
Physicians | 37 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ian Katz | Orthopedic Surgery | Vantage Physical Therapy and Rehabilitation Inc | 1910 Minno Dr, Johnstown, PA 15905-1108 |
Amina I Shikara | Family Medicine | Vantage Physical Therapy and Rehabilitation Inc | 290 Jamesway Rd, Ebensburg, PA 15931-4207 |
Amanda Lynn Toath | Physician Assistant | Vantage Physical Therapy and Rehabilitation Inc | 336 Bloomfield St, Johnstown, PA 15904-3271 |
Ronald Brandon Trale | Orthopedic Surgery | Vantage Physical Therapy and Rehabilitation Inc | 1910 Minno Dr, Johnstown, PA 15905-1108 |
Donald F Ratchford | Family Medicine | Vantage Physical Therapy and Rehabilitation Inc | 336 Bloomfield St, Johnstown, PA 15904-3271 |
Carol E Kowtoniuk | Family Medicine | Vantage Physical Therapy and Rehabilitation Inc | 336 Bloomfield St, Johnstown, PA 15904-3271 |
Vincent E Vena | Orthopedic Surgery | Vantage Physical Therapy and Rehabilitation Inc | 336 Bloomfield St, Johnstown, PA 15904-3271 |
Kristin Strannigan | Podiatry | Vantage Physical Therapy and Rehabilitation Inc | 311 Warren St, Suite 200, Johnstown, PA 15905-3444 |
Enrique S Koh | Family Medicine | Vantage Physical Therapy and Rehabilitation Inc | 1910 Minno Dr, Johnstown, PA 15905-1108 |
Frederick T Murphy | Rheumatology | Vantage Physical Therapy and Rehabilitation Inc | 336 Bloomfield St, Johnstown, PA 15904-3271 |
Street Address |
311 WARREN ST SUITE 200 |
City | JOHNSTOWN |
State | PA |
Zip | 15905-3444 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kristin Strannigan | Podiatry | Vantage Physical Therapy and Rehabilitation Inc | 311 Warren St, Suite 200, Johnstown, PA 15905-3444 |
Camille Anne Miller | Physician Assistant | Vantage Physical Therapy and Rehabilitation Inc | 311 Warren St, Suite 200, Johnstown, PA 15905-3444 |
David C Armstrong | Otolaryngology | Vantage Physical Therapy and Rehabilitation Inc | 311 Warren St, Suite 200, Johnstown, PA 15905-3444 |
Matthew L Zajdel | Family Medicine | Vantage Physical Therapy and Rehabilitation Inc | 311 Warren St, Suite 200, Johnstown, PA 15905-3444 |
Kelly Adams | Nurse Practitioner | Vantage Physical Therapy and Rehabilitation Inc | 311 Warren St, Suite 200, Johnstown, PA 15905-3444 |
Jessica Hernandez | Nurse Practitioner | Vantage Physical Therapy and Rehabilitation Inc | 311 Warren St, Suite 200, Johnstown, PA 15905-3444 |
David Bencie | Internal Medicine | Vantage Physical Therapy and Rehabilitation Inc | 311 Warren St, Suite 200, Johnstown, PA 15905-3444 |
Adam S Kanter | Neurosurgery | Vantage Physical Therapy and Rehabilitation Inc | 311 Warren St, Suite 200, Johnstown, PA 15905-3444 |
Name | Specialty | Organization | Address |
---|---|---|---|
Mary B Berge | Psychologist, Clinical | 1765 Goucher St, Suite 150, Johnstown, PA 15905-1101 | |
Ian Katz | Orthopedic Surgery | Vantage Physical Therapy and Rehabilitation Inc | 1910 Minno Dr, Johnstown, PA 15905-1108 |
Ronald Brandon Trale | Orthopedic Surgery | Vantage Physical Therapy and Rehabilitation Inc | 1910 Minno Dr, Johnstown, PA 15905-1108 |
Enrique S Koh | Family Medicine | Vantage Physical Therapy and Rehabilitation Inc | 1910 Minno Dr, Johnstown, PA 15905-1108 |
Jan M Savit | Neurology | Vantage Physical Therapy and Rehabilitation Inc | 1910 Minno Dr, Johnstown, PA 15905-1108 |
Molly B Trostle | Internal Medicine | Vantage Physical Therapy and Rehabilitation Inc | 1910 Minno Dr, Johnstown, PA 15905-1108 |
Amy M Reynolds | Family Medicine | Vantage Physical Therapy and Rehabilitation Inc | 1910 Minno Dr, Johnstown, PA 15905-1108 |
Terry Jean Nesmith | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 100 Woodmont Rd, Johnstown, PA 15905-1342 |
Marcia J Bathurst | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 100 Woodmont Rd, Johnstown, PA 15905-1342 |
John Wherthey | Diagnostic Radiology | Cambria Somerset Radiology and Nuclear Medicine Group Inc | 227 Luzerne St, Johnstown, PA 15905-2419 |
Find all physicians in zip 15905 |
City | JOHNSTOWN |
Zip Code | 15905 |
Specialty | FAMILY MEDICINE |
City + Specialty | JOHNSTOWN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Mark M Malicki.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.