NPIMap

Individual provider Active NPI

Elsa K. Malcolm, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Lima, OH
National Provider Identifier
1467478669
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
35-07-9416-M Issued in OH
Practice address
730 W Market St
Lima, OH 45801-4602
Phone
(419) 221-2042
Fax
(419) 996-5298
NPI assigned
Jul 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 35-07-9416-M OH Primary

Addresses

Primary practice location

730 W Market St
Lima, OH 45801-4602

Mailing address

10335 N Port Washington Rd
Suite 250
Mequon, WI 53092-5763
Phone (262) 240-9870

Other identifiers 1

IdentifierTypeStateIssuer
2242602MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110609000208 OH Practitioner - Pathology 5496932949 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Virginia School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lima Pathology Associates IncGroup PAC ID 3375599590, 7 clinicians

Practice addresses (Care Compare)

200 Saint Clair Ave
Saint Marys, OH 45885-2400
Phone 41939433353569

730 W Market St
Lima, OH 45801-4602
Phone (419) 226-9224

750 W High St
Suite 400
Lima, OH 45801-2967
Phone (419) 226-9224

800 W Main St
Coldwater, OH 45828-1613
Phone (419) 678-2341

885 N Sandusky Ave
Upper Sandusky, OH 43351-1031
Phone (419) 294-4991

915 Michigan St
Sidney, OH 45365-2401
Phone (937) 498-2311

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Pathology, LLC Anatomic Pathology & Clinical Pathology Current Accepting new patients
Joint Township District Memorial Hospital CurrentSince Jan 20, 2015 Accepting new patients
Lima Pathology Associates Inc Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2001 Accepting new patients
Mercer County Joint Township Community Hospital CurrentSince Jun 1, 2011 Accepting new patients
New Vision Medical Laboratories, LLC Current Accepting new patients
Mercer County Joint Township Community Hospital CurrentSince Jun 1, 2011 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
JTDM Family Practice LLC Past Accepting new patients

Locations

11311 Cornell Park Dr
Ste 420
Blue Ash, OH 45242

800 W Main St
Coldwater, OH 45828
Phone (419) 678-2341

921 E Franklin St
Kenton, OH 43326
Phone (419) 673-0761

730 W Market St
Lima, OH 45801
Phone (419) 226-4310

200 Saint Clair Ave
Saint Marys, OH 45885
Phone (419) 394-3387

1250 S Washington St
Van Wert, OH 45891
Phone (419) 232-2077

Organizations & group practices 8

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193875200000",
    "number": "1467478669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10335 N PORT WASHINGTON RD",
            "address_2": "SUITE 250",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925763",
            "telephone_number": "262-240-9870",
            "fax_number": "262-240-9869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 W MARKET ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014602",
            "telephone_number": "419-221-2042",
            "fax_number": "419-996-5298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALCOLM",
        "first_name": "ELSA",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OH",
            "license": "35-07-9416-M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2242602",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.