Malcolm H. King, PSC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

12569 Issued in KY

Legal business name

MALCOLM H. KING, PSC

Practice address

2301 Lexington Ave
Suite 205
Ashland, KY 41101-2873

Phone

(606) 325-9633

Fax

(606) 325-9634

NPI assigned

Dec 16, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Malcolm H. King, M.D.

Title

President

Phone

(606) 325-9633

Specialties & licenses 1

Addresses

Other identifiers 4

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1260921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362960000000",
    "number": "1023347366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 LEXINGTON AVE",
            "address_2": "SUITE 205",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012833",
            "telephone_number": "606-325-9633",
            "fax_number": "606-325-9634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 LEXINGTON AVE",
            "address_2": "SUITE 205",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012873",
            "telephone_number": "606-325-9633",
            "fax_number": "606-325-9634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALCOLM H. KING, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-16",
        "last_updated": "2013-03-11",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "MALCOLM",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-325-9633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "KY",
            "license": "12569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64125693",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM/BLUE CROSS/BLUE SHIELD",
            "identifier": "000000045301",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "K001463",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVERLERS MEDICARE",
            "identifier": "052769029",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamara J Maggard, CRNA
• Justin Mahlmeister
• Thomas Lee Mahoney, MD
• Erin Majewski, CM
• Ryan Patrick Majher, LPC
• Julie Mallin, DNP, FNP-BC
• Ashley Malone, MSN, RN, FNP-BC
• Mandala Therapeutic Services
• Philip Manilla, LPCC
• Manish Parikh MD PLLC

• All providers in Ashland, KY
• Adult Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.