Organization Active NPI

George T Maly MD, LLC

  • Cardiovascular Disease Physician
  • Toledo, OH
National Provider Identifier
1306937180
Registry record updated Feb 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35081651 Issued in OH
Legal business name
GEORGE T MALY MD, LLC
Practice address
3949 Sunforest CT
Suite #201
Toledo, OH 43623-4473
Phone
(419) 475-3635
Fax
(419) 475-3376
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2014

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

Authorized official

Name
Dr. George T Maly, MDNPI 1619968492
Title
Owner
Phone
(419) 475-3635

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 35081651 OH Primary

Addresses

Primary practice location

3949 Sunforest CT
Suite #201
Toledo, OH 43623-4473

Mailing address

3949 Sunforest CT
Suite #201
Toledo, OH 43623-4473
Phone (419) 475-3635

Other identifiers 1

IdentifierTypeStateIssuer
2761533MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061218000147 OH Part B Supplier - Clinic/Group Practice 9436158623 Receives reassigned benefits from 1 practitioner
Practice locations: Toledo, OH

National Provider Directory

National Provider Directory

Locations

1050 Isaac Streets Dr
Unit 2200
Oregon, OH 43616

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393372800000",
    "number": "1306937180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3949 SUNFOREST CT",
            "address_2": "SUITE #201",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234473",
            "telephone_number": "419-475-3635",
            "fax_number": "419-475-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3949 SUNFOREST CT",
            "address_2": "SUITE #201",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234473",
            "telephone_number": "419-475-3635",
            "fax_number": "419-475-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE T MALY MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2014-02-26",
        "status": "A",
        "authorized_official_last_name": "MALY",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-475-3635",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35081651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2761533",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; 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.