Susan Morton Malloy

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

1311 N Lottie Ave
Oklahoma City, OK 73117-2051

Phone

(405) 600-3103

Fax

(405) 605-8120

NPI assigned

Feb 15, 2018

Last updated

Feb 15, 2018By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518652800000",
    "number": "1437659513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2029 S COUNTY LINE AVE",
            "city": "BLANCHARD",
            "state": "OK",
            "postal_code": "730109454",
            "telephone_number": "405-922-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 N LOTTIE AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731172051",
            "telephone_number": "405-600-3103",
            "fax_number": "405-605-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLOY",
        "first_name": "SUSAN",
        "middle_name": "MORTON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-15",
        "last_updated": "2018-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael G Maline, D.O
• Shannon J Mallam
• Stephanie Dawn Mallam, OTR/L
• Jordan Mallard
• Ngozi Mallory
• Averie Jayne Mallozzi, MD
• Angel Marie Malone
• Ashley Dawn Malone
• Crystal Malone
• Deborah J Malone, LCSW

• Student in an Organized Health Care Education/Training Program in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Student in an Organized Health Care Education/Training Program in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2018; 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.