Ian William Malbec

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

629 S Riverside Dr Apt 302
Iowa City, IA 52246-5619

Phone

(954) 703-0516

NPI assigned

Feb 4, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1093346421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 S RIVERSIDE DR APT 302",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522465619",
            "telephone_number": "954-703-0516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 S RIVERSIDE DR APT 302",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522465619",
            "telephone_number": "954-703-0516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALBEC",
        "first_name": "IAN",
        "middle_name": "WILLIAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-04",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hiba Ahmed Akbar Makhdum, MD
• Dheeraj Makkar
• Mazen A Maktabi, MD
• Omar Mazen Maktabi, D.D.S.
• Boniface Malangu, MD
• Lindsey Malecha, MD
• Stephanie Malenfant, PHARMD, MPH
• Joan E Maley, MD
• Walter J Maley, MD
• Samira Malik, M.D.

• Student in an Organized Health Care Education/Training Program in Iowa City, IA
• Providers in Iowa City, IA by specialty
• Student in an Organized Health Care Education/Training Program in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; 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.