Maliyah Investments LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E3920 Issued in AR

Legal business name

MALIYAH INVESTMENTS LLC

Practice address

1000 E Matthews Ave Ste B
Jonesboro, AR 72401-4344

Phone

(870) 336-4050

Fax

(870) 336-4059

NPI assigned

Mar 16, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Daron Merryman, M.D.

Title

Physician, Owner

Phone

(501) 944-4802

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jonesboro HealthCare Clinic Doing business as

Practitioners 1

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

• Lindsey Wilson, PA-C

  • Physician Assistant
  • Springdale, AR
  • NPI 1619236981
  NPD (past)

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

{
    "created_epoch": "1331856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331856000000",
    "number": "1275808735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E MATTHEWS AVE STE B",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014344",
            "telephone_number": "870-336-4050",
            "fax_number": "870-336-4059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E MATTHEWS AVE STE B",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014344",
            "telephone_number": "870-336-4050",
            "fax_number": "870-336-4059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALIYAH INVESTMENTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-16",
        "last_updated": "2012-03-16",
        "status": "A",
        "authorized_official_last_name": "MERRYMAN",
        "authorized_official_first_name": "DARON",
        "authorized_official_title_or_position": "PHYSICIAN, OWNER",
        "authorized_official_telephone_number": "501-944-4802",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E3920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154310001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jonesboro HealthCare Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard Makar, MD
• Sharp Malak, MD
• Orchid Malaty, MD
• Noel Enrique Maldonado del Pozo
• Jennifer L Maley, LCSW
• Brittani L Mallett, PHARMD
• Charisse L Malone
• Christopher R Malone, OT
• Jenna Malone
• Kelsey Raye Maloney, CSFA

• Family Medicine Physician in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.