Justin A Malone (NPI# 1689895534, PAC ID# 6406948439) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1689895534 |
| PAC ID by PECOS | 6406948439 |
| Professional Enrollment ID | I20070822001247 |
| Full Name | Justin A Malone |
| Organization Legal Name | ADVANCED SLEEP LABS LLC |
| Address |
525 N Keene St Suite 302 Columbia MO 65201-6627 |
| Phone Number | 5734410455 |
| Gender | M |
| Medical School | CREIGHTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | NEUROLOGY |
| Secondary Specialties | NEUROPSYCHIATRY |
| Group Practice PAC ID | 0345325692 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260068 | BOONE HOSPITAL CENTER |
| 260186 | LAKE REGIONAL HEALTH SYSTEM |
| 260004 | COOPER COUNTY MEMORIAL HOSPITAL |
| 260141 | UNIVERSITY OF MISSOURI HOSPITAL & CLINICS |
| Address | Phone | Organization |
|---|---|---|
| 1600 E Broadway, Columbia, MO 65201-5844 | 5738158000 | BOONE PHYSICIAN SERVICES LLC |
| 525 N Keene St, Suite 302, Columbia, MO 65201-6627 | 5734410455 | ADVANCED SLEEP LABS LLC |
| 525 N Keene St, Suite 301, Columbia, MO 65201-6967 | 5734492141 | JEFFERSON CITY MEDICAL GROUP PC |
| 54 Hospital Dr, Osage Beach, MO 65065-3050 | 5732802772 | LAKE REGIONAL MEDICAL MANAGEMENT, INC. |
| Organization Legal Name | ADVANCED SLEEP LABS LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Myles B Goble | Neurology | Advanced Sleep Labs LLC | 525 N Keene St, Suite 302, Columbia, MO 65201-6627 |
| James M Koch | Neurology | Advanced Sleep Labs LLC | 525 N Keene St, Suite 302, Columbia, MO 65201-6627 |
| David L Mclaren | Neurology | Advanced Sleep Labs LLC | 525 N Keene St, Suite 302, Columbia, MO 65201-6627 |
| Komal H Ashraf | Neurology | Advanced Sleep Labs LLC | 525 N Keene St, Suite 302, Columbia, MO 65201-6627 |
| Allyn L Sher | Neurology | Advanced Sleep Labs LLC | 525 N Keene St, Suite 302, Columbia, MO 65201-6627 |
| Street Address |
525 N KEENE ST SUITE 302 |
| City | COLUMBIA |
| State | MO |
| Zip | 65201-6627 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Myles B Goble | Neurology | Advanced Sleep Labs LLC | 525 N Keene St, Suite 302, Columbia, MO 65201-6627 |
| Janet I Samuels | Nurse Practitioner | Jefferson City Medical Group PC | 525 N Keene St, Suite 301, Columbia, MO 65201-6967 |
| James M Koch | Neurology | Advanced Sleep Labs LLC | 525 N Keene St, Suite 302, Columbia, MO 65201-6627 |
| David L Mclaren | Neurology | Advanced Sleep Labs LLC | 525 N Keene St, Suite 302, Columbia, MO 65201-6627 |
| Michael Stephen Brandon | Oral Surgery | The Curators of The University of Missouri | 525 N Keene St, Mu Ent Hearing and Balance Center, Columbia, MO 65201-6967 |
| Laura M Dooley | Otolaryngology | The Curators of The University of Missouri | 525 N Keene St, Mu Ent Hearing and Balance Center, Columbia, MO 65201-6967 |
| David A Kropf | Otolaryngology | The Curators of The University of Missouri | 525 N Keene St, Mu Ent Hearing and Balance Center, Columbia, MO 65201-6967 |
| Komal H Ashraf | Neurology | Advanced Sleep Labs LLC | 525 N Keene St, Suite 302, Columbia, MO 65201-6627 |
| Amy Elizabeth Stark | Nurse Practitioner | The Curators of The University of Missouri | 525 N Keene St, Mu Ent Hearing and Balance Center, Columbia, MO 65201-6967 |
| William C Kinney | Otolaryngology | The Curators of The University of Missouri | 525 N Keene St, Mu Ent Hearing and Balance Center, Columbia, MO 65201-6967 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gerald H Heisler | Clinical Psychologist | 1316 S Old Hwy 63, Columbia, MO 65201 | |
| Amanda J Fischer | General Surgery | Columbia Surgical Services Inc | 3220 Bluff Creek Dr, Suite 100, Columbia, MO 65201-3525 |
| Erica H Salinas | Vascular Surgery | Columbia Surgical Services Inc | 3220 Bluff Creek Dr, Suite 100, Columbia, MO 65201-3525 |
| Jennifer Lynn Sanford | Vascular Surgery | Columbia Surgical Services Inc | 3220 Bluff Creek Dr, Suite 100, Columbia, MO 65201-3525 |
| Jane A Vaughan | Nurse Practitioner | Columbia Surgical Services Inc | 3220 Bluff Creek Dr, Suite 100, Columbia, MO 65201-3525 |
| Ashley Marie Hardesty | Nurse Practitioner | Columbia Surgical Services Inc | 3220 Bluff Creek Dr, Suite 100, Columbia, MO 65201-3525 |
| John G Adams Jr. | Vascular Surgery | Columbia Surgical Services Inc | 3220 Bluff Creek Dr, Suite 100, Columbia, MO 65201-3525 |
| Kimberly C Suppes | General Surgery | Columbia Surgical Services Inc | 3220 Bluff Creek Dr, Suite 100, Columbia, MO 65201-3525 |
| Erik M Grossmann | Colorectal Surgery (proctology) | Columbia Surgical Services Inc | 3220 Bluff Creek Dr, Suite 100, Columbia, MO 65201-3525 |
| Jeffrey Roland Nolting | Psychologist, Clinical | Deer Oaks Mental Health Associates PC | 3105 Bluff Creek Dr, Columbia, MO 65201-3529 |
| Find all physicians in zip 65201 | |||
| City | COLUMBIA |
| Zip Code | 65201 |
| Specialty | NEUROLOGY |
| City + Specialty | COLUMBIA + NEUROLOGY |
Please comment or provide details below to improve the information on Justin A Malone.
| 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.