Active NPI
SM Maloff MD PC
- Surgery of the Hand (Plastic Surgery) Physician
- Pocatello, ID
National Provider Identifier
1164774923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery of the Hand (Plastic Surgery) Physician
- License
- M 3508
- Legal business name
- SM MALOFF MD PC
- Practice address
- 285 Vista Dr
Pocatello, ID 83201-4987 - Phone
- (208) 239-0380
- Fax
- (208) 233-6983
- NPI assigned
- Oct 3, 2012
- Last updated
- Oct 3, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen M Maloff, MD
- Title
- Owner
- Phone
- (208) 239-0380
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery of the Hand (Plastic Surgery) Physician | 2082S0105X | M 3508 | ID | Primary |
Addresses
Primary practice location
285 Vista Dr
Pocatello, ID 83201-4987
Mailing address
444 Hospital Way Ste 477
Pocatello, ID 83201-2744
Phone (208) 239-0380
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349222400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1349222400000",
"number": "1164774923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "444 HOSPITAL WAY STE 477",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832012744",
"telephone_number": "208-239-0380",
"fax_number": "208-233-6983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 VISTA DR",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832014987",
"telephone_number": "208-239-0380",
"fax_number": "208-233-6983"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SM MALOFF MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-03",
"last_updated": "2012-10-03",
"status": "A",
"authorized_official_last_name": "MALOFF",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "208-239-0380",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2082S0105X",
"taxonomy_group": "",
"desc": "Plastic Surgery, Surgery of the Hand",
"state": "ID",
"license": "M 3508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pocatello, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.