Individual provider Active NPI

Philip W Mallory, DPM

  • Podiatrist
  • Huntington, WV
National Provider Identifier
1417953159
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
201 Issued in WV
Practice address
523 7TH St
Huntington, WV 25701-2015
Phone
(304) 525-4455
Fax
(304) 525-4455
NPI assigned
Jun 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 201 WV Primary

Addresses

Primary practice location

523 7TH St
Huntington, WV 25701-2015

Mailing address

523 7TH St
Huntington, WV 25701-2015
Phone (304) 525-4455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2159WVMDEmergency Medicine Physician
201WVMDPodiatrist
00201WVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mallory, Inc. Podiatrist Past Accepting new patients
Allcare Foot & Ankle Center LLC Podiatrist Past Accepting new patients
Huntington Foot & Ankle Clinic, Inc Podiatrist PastSince Aug 15, 2001 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8297/brand/4/csg/41/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/8297/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/8297/brand/5/csg/61/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209686400000",
    "number": "1417953159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 7TH ST",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257012015",
            "telephone_number": "304-525-4455",
            "fax_number": "304-525-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 7TH ST",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257012015",
            "telephone_number": "304-525-4455",
            "fax_number": "304-525-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLORY",
        "first_name": "PHILIP",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2008-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WV",
            "license": "201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.