Mallette Dermatology

Primary specialty

SpecialistTaxonomy code 174400000X

License

DO841 Issued in AL

Legal business name

MALLETTE DERMATOLOGY

Practice address

707 Hwy 31 S
Suite F
Athens, AL 35611

Phone

(256) 771-1995

Fax

(256) 771-1965

NPI assigned

Jun 14, 2007

Organization subpart

No

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

Authorized official

Name

Stephen G Mallette, DONPI 1700849411

Title

Owner Physician

Phone

(256) 771-1995

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen Guy Mallette, D.O.

  • Dermatology Physician
  • Athens, AL
  • NPI 1700849411
  Medicare reassignment Care Compare group Authorized official
• Kristy Elaine Parrish, AANP, FNP-C

  • Family Nurse Practitioner
  • Athens, AL
  • NPI 1114412525
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1265636955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 HWY 31 S",
            "address_2": "SUITE F",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "35611",
            "telephone_number": "256-771-1995",
            "fax_number": "256-771-1965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 HWY 31 S",
            "address_2": "SUITE F",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "35611",
            "telephone_number": "256-771-1995",
            "fax_number": "256-771-1965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALLETTE DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "MALLETTE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "256-771-1995",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AL",
            "license": "DO841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Madeleine Lowman, PMHNP-BC
• Stephaine M Turner, CNA
• Aleigha R Macfarlane
• Jeanetta Rena Maddox, M.S.W.
• Diane Althea Magnuson, RD
• Stephen Guy Mallette, D.O.
• Belinda Maples, M.D.
• Jason Randell Marks
• Lindsey Marecle Marshall, D.M.D.
• Arthur Eugene Mays Jr., MD

• Specialist in Athens, AL
• Providers in Athens, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.