Mallary Ruth Malwick, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

92788 Issued in OK

Practice address

5500 N Western Ave
Suite 212
Oklahoma City, OK 73118-4019

Phone

(866) 542-3648

Fax

(405) 810-8682

NPI assigned

Nov 15, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DSB Medical Services CorpGroup PAC ID 7214398833, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mallary.malwick.1@17618.direct.athenahealth.com

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.

• DSB Medical Services Corp

  dba TLC Walk-In Clinic

  • Urgent Care Clinic/Center
  • Bethany, OK
  • NPI 1912608613
  Medicare reassignment Care Compare group NPD
• Deaconess Physician Services LLC

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1427017862
  NPD (past)

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

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427328000000",
    "number": "1316224645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 N WESTERN AVE",
            "address_2": "SUITE 212",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731184019",
            "telephone_number": "866-542-3648",
            "fax_number": "405-810-8682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 N WESTERN AVE",
            "address_2": "SUITE 212",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731184019",
            "telephone_number": "866-542-3648",
            "fax_number": "405-810-8682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALWICK",
        "first_name": "MALLARY",
        "middle_name": "RUTH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-15",
        "last_updated": "2015-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "92788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Nicole Maloney, M.H.S., P.A.-C.
• Lesley Ranay Maloney, PHARM.D.
• Valli Maloy, MS
• Vijaya L Malpani, M.D.
• Sadie Maltz
• Stephen R Maly, PT
• Grigoriy Malyutin, M.D.
• Mam Massage & Spa LLC
• Erin Marie Mamatov, MD
• Mammoth Insight LLC

• Family Nurse Practitioner in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.