Active NPI
Michael Robert Malone, DO
- Orthopaedic Surgery Physician
- Corsicana, TX
National Provider Identifier
1073587101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- L7028
- Practice address
- 400 Hospital Dr
Ste 201
Corsicana, TX 75110-2489 - Phone
- (903) 641-4870
- Fax
- (903) 641-4877
- NPI assigned
- Feb 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | L7028 | TX | Primary |
Addresses
Primary practice location
400 Hospital Dr
Ste 201
Corsicana, TX 75110-2489
Mailing address
400 Hospital Dr Ste 111
Corsicana, TX 75110-2489
Phone (903) 641-4895
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160314402 | Medicaid | TX | |
| 160314403 | Medicaid | TX | |
| 8W4545 | Other | TX | BLUE CROSS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | michael.malone.1@1902.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Employee Assistance Program Inc | Current | Accepting new patients | |
| Regional Employee Assistance Program Inc | Current | Accepting new patients |
Locations
400 Hospital Dr
Ste 111
Corsicana, TX 75110
400 Hospital Dr
Ste 201
Corsicana, TX 75110
Phone (903) 641-4870
301 Hospital Dr
Corsicana, TX 75110
Phone (903) 641-4800
2804 Lake Rd
Ste 5
Huntsville, TX 77340
Phone (979) 696-2422
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Corsicana, TX
- NPI 1649232984
-
- Cardiovascular Disease Physician
- Abilene, TX
- NPI 1073575585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600041600000",
"number": "1073587101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 HOSPITAL DR STE 111",
"city": "CORSICANA",
"state": "TX",
"postal_code": "751102489",
"telephone_number": "903-641-4895",
"fax_number": "903-641-4894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 HOSPITAL DR",
"address_2": "STE 201",
"city": "CORSICANA",
"state": "TX",
"postal_code": "751102489",
"telephone_number": "903-641-4870",
"fax_number": "903-641-4877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALONE",
"first_name": "MICHAEL",
"middle_name": "ROBERT",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-15",
"last_updated": "2020-09-14",
"certification_date": "2020-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "L7028",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "160314402",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "160314403",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "8W4545",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "michael.malone.1@1902.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "AMR direct address",
"address_1": "400 Hospital Dr",
"address_2": "Ste 201",
"city": "Corsicana",
"state": "TX",
"country_code": "US",
"postal_code": "751102489",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Corsicana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.