Active NPI
Kathrine H Malozzi, D.O.
- Family Medicine Physician
- Mobile, AL
National Provider Identifier
1295826378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO992
- Practice address
- 5870 Alumni Cir
Mobile, AL 36688-0002 - Phone
- (251) 460-7151
- Fax
- (251) 414-8227
- NPI assigned
- Sep 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 39020000X | FL | |
| Family Medicine Physician | 207Q00000X | DO992 | AL | Primary |
Addresses
Primary practice location
5870 Alumni Cir
Mobile, AL 36688-0002
Mailing address
5870 Alumni Cir
Mobile, AL 36688-0002
Phone (251) 460-7151
Other names 1
- Kathrine L Heron
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161123001406 | AL | Order and Referring Only - Family Practice | 7618256116 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39020000X | FL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of South Alabama | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Mobile, AL
- NPI 1992746838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476057600000",
"number": "1295826378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5870 ALUMNI CIR",
"city": "MOBILE",
"state": "AL",
"postal_code": "366880002",
"telephone_number": "251-460-7151",
"fax_number": "251-414-8227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5870 ALUMNI CIR",
"city": "MOBILE",
"state": "AL",
"postal_code": "366880002",
"telephone_number": "251-460-7151",
"fax_number": "251-414-8227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALOZZI",
"first_name": "KATHRINE",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2016-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "39020000X",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "DO992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHRINE",
"last_name": "HERON",
"middle_name": "L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.