Henrik Malchau, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

221030 Issued in MA

Practice address

55 Fruit Street Yaw 3922
Orthopaedic Associates
Boston, MA 02114-2696

Phone

(617) 726-3866

Fax

(617) 726-8770

NPI assigned

Mar 1, 2006

Last updated

Dec 18, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1205803061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9142",
            "address_2": "MASS GENERAL PHYSICIAN ORGANIZATION",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021299142",
            "telephone_number": "617-643-1322",
            "fax_number": "617-726-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FRUIT STREET YAW 3922",
            "address_2": "ORTHOPAEDIC ASSOCIATES",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142696",
            "telephone_number": "617-726-3866",
            "fax_number": "617-726-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALCHAU",
        "first_name": "HENRIK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "221030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "469917",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "J28331",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sofia Malamazian
• Kenneth Albert Malament, D.D.S.,M.SC.D.
• Mariam Malament, DMD, MSC, PHD
• Sydney Rose Malaspina, PT, DPT, CSCS
• Justina Malave
• Ashanti Amyah Malcolm-Bates, NONE
• Julian J Maldonado-Alers, MD
• Ana Maldonado, PA-C/MPH
• Celina Carmen Maldonado
• Gabriela Maldonado

• Surgery Physician in Boston, MA
• Providers in Boston, MA by specialty
• Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.

Verify at the official NPI Registry.