Individual provider Active NPI

Patrick M O'Malley, MD

  • Emergency Medicine Physician
  • Lexington, SC
National Provider Identifier
1144350588
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
29723 Issued in SC
Practice address
811 W Main St
Lexington, SC 29072-2507
Phone
(803) 358-6100
NPI assigned
Mar 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 121501 NC
Emergency Medicine Physician 207P00000X 29723 SC Primary

Addresses

Primary practice location

811 W Main St
Lexington, SC 29072-2507

Mailing address

PO Box 896239
Charlotte, NC 28289-6239
Phone (803) 358-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20071204000738 SC Practitioner - Emergency Medicine 7719076389 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
121501NCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newberry County Memorial Hospital CurrentSince Aug 1, 2017 Accepting new patients
Newberry County Memorial Hospital Emergency Medicine CurrentSince Aug 1, 2017 Accepting new patients
Newberry County Memorial Hospital Past Accepting new patients

Locations

2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1144350588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 896239",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282896239",
            "telephone_number": "803-358-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 W MAIN ST",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290722507",
            "telephone_number": "803-358-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'MALLEY",
        "first_name": "PATRICK",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "121501",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "29723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, SC

Sources for this page

Verify at the official NPI Registry.