John M Malain, D.P.M., PA

Primary specialty

PodiatristTaxonomy code 213E00000X

License

P1142 Issued in TX

Practice address

3480 Fannin St
Ste D
Beaumont, TX 77701-3804

Phone

(409) 832-8800

Fax

(409) 832-6426

NPI assigned

Aug 26, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• John M. Malain D.P.M., PA

  • Podiatrist
  • Beaumont, TX
  • NPI 1750550083
  NPD (past)

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203552000000",
    "number": "1376536045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3480 FANNIN ST",
            "address_2": "STE D",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777013804",
            "telephone_number": "409-832-8800",
            "fax_number": "409-832-6426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3480 FANNIN ST",
            "address_2": "STE D",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777013804",
            "telephone_number": "409-832-8800",
            "fax_number": "409-832-6426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAIN",
        "first_name": "JOHN",
        "middle_name": "M",
        "credential": "D.P.M., PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2008-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "P1142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127207201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yugal Kishore Maheshwari, MD
• Brenda Mai, M.D.
• Brent Lee Mainwaring, M.D.
• Rebecca Majors, SLP
• Julie Christine Makdsi, PH.D.
• Ashok K Malani, MD
• Melissa Simone Malley, RN, FNP
• Michael G Malley, DDS
• Sadie Marie Malmberg, LMT
• Dorian Maloy, PHARMD

• All providers in Beaumont, TX
• Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.

Verify at the official NPI Registry.