Individual provider Active NPI

Karen Ashmore Maltby, M.D.

  • Allergy & Immunology Physician
  • Tupelo, MS
National Provider Identifier
1114134863
Registry record updated Jun 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
46387 Issued in TN
Practice address
811 Garfield St
Tupelo, MS 38801-5748
Phone
(662) 620-0688
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 46387 TN
Allergy & Immunology Physician 207K00000X 46387 TN Primary

Addresses

Primary practice location

811 Garfield St
Tupelo, MS 38801-5748

Mailing address

811 Garfield St
Tupelo, MS 38801-5748
Phone (662) 620-0688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130701000328 MS Practitioner - Allergy/ImmunologyPractitioner - Internal MedicinePractitioner - Pediatric Medicine 2668618265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Pediatric Medicine
Education
University of Mississippi School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Mississippi Allergy and Asthma Center PLLCGroup PAC ID 6103992086, 2 clinicians

Practice addresses (Care Compare)

1512 Medical Park Cir
Tupelo, MS 38801-6560
Phone (662) 620-0688

Hospital & facility affiliations

  • North Mississippi Medical Center Hospital, Tupelo, MS, CCN 250004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
46387TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Medical Center Current Accepting new patients
North Mississippi Allergy and Asthma Center PLLC CurrentSince Jun 1, 2013 Accepting new patients
North Mississippi Allergy and Asthma Center PLLC Allergy & Immunology Current Accepting new patients
North Mississippi Allergy and Asthma Center PLLC CurrentSince Jun 1, 2013 Accepting new patients

Locations

118 Fairfield Dr
New Albany, MS 38652
Phone (662) 534-0898

103 Doctors Park
Starkville, MS 39759
Phone (601) 323-2515

1512 Medical Park Cir
Tupelo, MS 38801
Phone (662) 620-0688

811 Garfield St
Tupelo, MS 38801
Phone (662) 350-3106

Interoperability endpoints

  • Direct secure messaging: karenmaltby@nmhs.medalliesdirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371686400000",
    "number": "1114134863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 GARFIELD ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388015748",
            "telephone_number": "662-620-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 GARFIELD ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388015748",
            "telephone_number": "662-620-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALTBY",
        "first_name": "KAREN",
        "middle_name": "ASHMORE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2013-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "46387",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TN",
            "license": "46387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.