William G Malcolm DPM PA

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO2054 Issued in FL

Legal business name

WILLIAM G MALCOLM DPM PA

Practice address

4900 SW 101St Ave
Cooper City, FL 33328-3307

Phone

(305) 866-0268

NPI assigned

Jan 17, 2007

Organization subpart

No

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

Authorized official

Name

William Malcolm, DPMNPI 1366428492

Title

Owner

Phone

(305) 866-0268

Specialties & licenses 1

Addresses

Other names 1

• FISHBEIN AND MALCOLM DPM PA Former legal business name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William G Malcolm, DPM

  • Foot & Ankle Surgery Podiatrist
  • Cooper City, FL
  • NPI 1366428492
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1093867145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 SW 101ST AVE",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333283307",
            "telephone_number": "305-866-0268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 SW 101ST AVE",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333283307",
            "telephone_number": "305-866-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM G MALCOLM DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "MALCOLM",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-866-0268",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FISHBEIN AND MALCOLM DPM PA",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "FISHBEIN AND MALCOLM DPM PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Cameel Rachael Wellington Walls
• Susan Birmingham Westerfield, OTRL
• Cynthia Dawn Wheeler, FNP-C
• Nyla Whitehead, LMFT
• Whole Life Physical Therapy, LLC
• Karie Annette Williams Soto
• Lynn Williams
• Nathan S Winton, R.R.T.
• Brittany Leigh Wolfe, LCSW
• Jay Samuel Woolfstead, M.S.

• Podiatrist in Cooper City, FL
• Providers in Cooper City, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.