Jared Rick Malan, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

SC006481 Issued in PA

Practice address

420 Loretto Rd
Suite 500
Lebanon, KY 40033-1628

Phone

(270) 692-5272

Fax

(270) 692-5285

NPI assigned

Jul 1, 2013

Last updated

Aug 25, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 KY

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Temple University School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spring View Physician Practices LLCGroup PAC ID 3476557000, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Spring View Hospital Hospital, Lebanon, KY, CCN 180024
• Bluegrass Community Hospital Hospital, Versailles, KY, CCN 181308
• Taylor Regional Hospital Hospital, Campbellsville, KY, CCN 180087
• Bluegrass Community Hospital Nursing home, CCN 18Z308

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jared.malan.1@30070.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spring View Physician Practices, LLC

  • Family Medicine Physician
  • Lebanon, KY
  • NPI 1154739399

  Foot & Ankle Surgery

  Medicare reassignment Care Compare group NPD
• Spring View Physician Practices LLC

  dba Spring View Women's & Children's Clinic - Campbellsville

  • Rural Health Clinic/Center
  • Campbellsville, KY
  • NPI 1326810920
  NPD
• Spring View Physician Practices, LLC

  dba Spring View Women's & Children's Clinic

  • Rural Health Clinic/Center
  • Lebanon, KY
  • NPI 1477851467
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Spring View Hospital LLC

  dba Spring View Hospital

  • Rural Acute Care Hospital
  • Lebanon, KY
  • NPI 1780746420
  Care Compare affiliation
• Taylor County Hospital District Health Facilities Corporation

  • General Acute Care Hospital
  • Campbellsville, KY
  • NPI 1689761942
  Care Compare affiliation
• Woodford Hospital LLC

  dba Bluegrass Community Hospital-swing bed unit

  • Medicare Defined Swing Bed Hospital Unit
  • Versailles, KY
  • NPI 1417018037

  Nursing home

  Care Compare affiliation
• Woodford Hospital LLC

  dba Bluegrass Community Hospital

  • Critical Access Hospital
  • Versailles, KY
  • NPI 1588745012
  Care Compare affiliation

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472083200000",
    "number": "1316387665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 LORETTO RD",
            "address_2": "SUITE 500",
            "city": "LEBANON",
            "state": "KY",
            "postal_code": "400331628",
            "telephone_number": "270-692-5272",
            "fax_number": "270-692-5285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 LORETTO RD",
            "address_2": "SUITE 500",
            "city": "LEBANON",
            "state": "KY",
            "postal_code": "400331628",
            "telephone_number": "270-692-5272",
            "fax_number": "270-692-5285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAN",
        "first_name": "JARED",
        "middle_name": "RICK",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-01",
        "last_updated": "2016-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Michelle Logsdon, APRN
• Marvin D Mabry, D.C.
• Ruth Elaine Mackey, OT
• Constance Louise Mahin, APRN FNP-C
• Theresa Mahoney, PHARMD
• Bobbie Marcum, ARNP RN
• Marion County Adult Day Health Inc
• Marion County Anesthesia Associates PLLC
• Marion County County Treasurer (Marion County EMS)
• Marion County Schools

• Foot & Ankle Surgery Podiatrist in Lebanon, KY
• Providers in Lebanon, KY by specialty
• Foot & Ankle Surgery Podiatrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.
• 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.