Active NPI
Daniel Malone, MD
- Emergency Medicine Physician
- Andover, OH
National Provider Identifier
1295712537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 35084918
- Practice address
- 476 S Main St
Andover, OH 44003-9602 - Phone
- (330) 841-4000
- Fax
- (330) 656-5901
- NPI assigned
- Dec 28, 2005
- Last updated
- Jun 11, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 35084918 | OH | Primary |
Addresses
Primary practice location
476 S Main St
Andover, OH 44003-9602
Mailing address
5700 Darrow Rd
Suite 106
Hudson, OH 44236-5021
Phone (330) 656-5911
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000349348 | Other | OH | ANTHEM |
| 000000381140 | Other | OH | ANTHEM |
| 000963091-0009 | Other | OH | PENNSYLVANIA MEDICAID |
| 2162467 | Medicaid | OH | |
| 000000028430 | Other | OH | ANTHEM |
| 000000385522 | Other | OH | ANTHEM |
| 000963091-0008 | Other | OH | PENNSYLVANIA MEDICAID |
| 000963091-0010 | Other | OH | PENNSYLVANIA MEDICAID |
| P00350570 | Other | OH | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35084918 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Physicians of Brooke County, PLLC | Emergency Medicine | Past | Accepting new patients |
| 4M Emergency Systems Andover LLC | Emergency Medicine | Past | Accepting new patients |
| Mahoning Valley Emergency Specialists LLC | Emergency Medicine | Past | Accepting new patients |
| Valley Medical Facilities Inc | Emergency Medicine | Past | Accepting new patients |
| Mves Austintown LLC | Emergency Medicine | Past | Accepting new patients |
| Mves Boardman LLC | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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Emergency Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213142400000",
"number": "1295712537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5700 DARROW RD",
"address_2": "SUITE 106",
"city": "HUDSON",
"state": "OH",
"postal_code": "442365021",
"telephone_number": "330-656-5911",
"fax_number": "330-656-5901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "476 S MAIN ST",
"city": "ANDOVER",
"state": "OH",
"postal_code": "440039602",
"telephone_number": "330-841-4000",
"fax_number": "330-656-5901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALONE",
"first_name": "DANIEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-28",
"last_updated": "2008-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "35084918",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000349348",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000381140",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PENNSYLVANIA MEDICAID",
"identifier": "000963091-0009",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2162467",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000028430",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000385522",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PENNSYLVANIA MEDICAID",
"identifier": "000963091-0008",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PENNSYLVANIA MEDICAID",
"identifier": "000963091-0010",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00350570",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Andover, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.