Active NPI
Mark E O'Malley, D.C.
- Chiropractor
- Wethersfield, CT
National Provider Identifier
1184736043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CT000731
- Practice address
- 78 Beaver Rd
Suite 2a
Wethersfield, CT 06109-2295 - Phone
- (860) 257-9400
- Fax
- (860) 257-7169
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CT000731 | CT | Primary |
Addresses
Primary practice location
78 Beaver Rd
Suite 2a
Wethersfield, CT 06109-2295
Mailing address
78 Beaver Rd
Suite 2a
Wethersfield, CT 06109-2295
Phone (860) 257-9400
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 682637 | Other | CT | CONNECTICARE |
| 2V2010 | Other | CT | HEALTHNET |
| 050000731CT01 | Other | CT | ANTHEM BLUE CROSS |
| 519710 | Other | CT | AETNA |
| 4590708 | Other | CT | ENVOY/AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
78 Beaver Rd
Suite 1a
Wethersfield, CT 06109-2200
Phone (860) 257-9400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CT000731 | CT | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Josephine Contrino MD, LLC | Current | Accepting new patients | |
| O'Malley Chiropractic Health Center, LLC | Chiropractor | Current | Accepting new patients |
Locations
78 Beaver Rd
Ste 2A
Wethersfield, CT 06109
Phone (860) 257-9400
78 Beaver Rd
Ste 1A
Wethersfield, CT 06109
Phone (860) 257-9400
Organizations & group practices 2
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.
-
- Chiropractor
- Wethersfield, CT
- NPI 1366744922
-
- Internal Medicine Physician
- Wethersfield, CT
- NPI 1134274921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290038400000",
"number": "1184736043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78 BEAVER RD",
"address_2": "SUITE 2A",
"city": "WETHERSFIELD",
"state": "CT",
"postal_code": "061092295",
"telephone_number": "860-257-9400",
"fax_number": "860-257-7169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78 BEAVER RD",
"address_2": "SUITE 2A",
"city": "WETHERSFIELD",
"state": "CT",
"postal_code": "061092295",
"telephone_number": "860-257-9400",
"fax_number": "860-257-7169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'MALLEY",
"first_name": "MARK",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2010-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CT",
"license": "CT000731",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "682637",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "2V2010",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "050000731CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "519710",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ENVOY/AETNA",
"identifier": "4590708",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wethersfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.