Individual provider Active NPI

Mary E Malcom, DO

  • Emergency Medicine Physician
  • Carlisle, IA
National Provider Identifier
1417937699
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
3459 Issued in IA
Practice address
45 Columbia St
Carlisle, IA 50047-7715
Phone
(515) 989-4143
NPI assigned
Jan 22, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 3459 IA Primary

Addresses

Primary practice location

45 Columbia St
Carlisle, IA 50047-7715

Mailing address

45 Columbia St
Carlisle, IA 50047-7715
Phone (515) 989-4143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
3459IAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pocahontas Community Hospital Current Accepting new patients
Jackson County Public Hospital Current Accepting new patients
Mercy Medical Center-Centerville Past Accepting new patients

Locations

601 Hospital Dr
Maquoketa, IA 52060
Phone (563) 652-2474

700 W Grove St
Maquoketa, IA 52060
Phone (563) 652-2474

606 NW 7th St
Pocahontas, IA 50574
Phone (712) 335-3501

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1137888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1417937699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 COLUMBIA ST",
            "city": "CARLISLE",
            "state": "IA",
            "postal_code": "500477715",
            "telephone_number": "515-989-4143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 COLUMBIA ST",
            "city": "CARLISLE",
            "state": "IA",
            "postal_code": "500477715",
            "telephone_number": "515-989-4143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALCOM",
        "first_name": "MARY",
        "middle_name": "E",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "3459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, IA

Sources for this page

Verify at the official NPI Registry.