Organization Active NPI

John a. Malonis, M.D., P.a.

  • Specialist
  • Burleson, TX
National Provider Identifier
1033361068
Registry record updated Oct 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
H9542 Issued in TX
Legal business name
JOHN A. MALONIS, M.D., P.A.
Practice address
11797 South Fwy
Ste. 342
Burleson, TX 76028-7026
Phone
(817) 926-2663
Fax
(817) 293-8860
NPI assigned
Oct 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2008

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

Authorized official

Name
Mrs. Mary Barcuch
Title
A/R Specialist
Phone
(817) 926-2663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X H9542 TX Primary

Addresses

Primary practice location

11797 South Fwy
Ste. 342
Burleson, TX 76028-7026

Mailing address

PO Box 6426
Fort Worth, TX 76115-0426
Phone (817) 926-2663

Other identifiers 2

IdentifierTypeStateIssuer
H9542OtherTXLICENSE
120613F01MedicaidTX

Other names 1

  • Tarrant County Bone and Joint Doing business as

National Provider Directory

National Provider Directory

Locations

215 Old Highway 1187
Burleson, TX 76028
Phone 8179262663118

NPI Registry JSON

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224633600000",
    "number": "1033361068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6426",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761150426",
            "telephone_number": "817-926-2663",
            "fax_number": "817-293-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11797 SOUTH FWY",
            "address_2": "STE. 342",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760287026",
            "telephone_number": "817-926-2663",
            "fax_number": "817-293-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN A. MALONIS, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-10-22",
        "status": "A",
        "authorized_official_last_name": "BARCUCH",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "A/R SPECIALIST",
        "authorized_official_telephone_number": "817-926-2663",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "H9542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "H9542",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120613F01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tarrant County Bone and Joint",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burleson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; 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.