Trudy Malone, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

39304-20 Issued in WI

Practice address

N30W29293 Hillcrest Dr
Pewaukee, WI 53072-3235

Phone

(262) 369-0030

NPI assigned

Mar 24, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1553385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553385600000",
    "number": "1508326562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N30W29293 HILLCREST DR",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530723235",
            "telephone_number": "262-369-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N30W29293 HILLCREST DR",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530723235",
            "telephone_number": "262-369-0030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "N30W29293 Hillcrest Dr",
            "address_purpose": "LOCATION",
            "city": "Pewaukee",
            "state": "WI",
            "postal_code": "530723235",
            "country_code": "US",
            "telephone_number": "262-369-0030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALONE",
        "first_name": "TRUDY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-24",
        "last_updated": "2019-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MN",
            "license": "37377",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": "39304-20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WISCONSIN MEDICINE AND SURGERY LICENSE",
            "identifier": "39304-20",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tmalone@wi.rr.com",
            "affiliation": "N",
            "endpointDescription": "direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct email",
            "address_1": "N30W29293 Hillcrest Dr",
            "city": "Pewaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530723235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jamie L Mabeus, D.C.
• Ariane Machin, PH.D.
• Ingo G Mahn, DDS
• Melissa Malloy, PA-C
• Geoffrey K Malone, LCSW
• Deborah L Manjoney, MD
• Carrie Manlick, RN
• Mariam Mansour
• Edward J Manteufel, RPH
• Janet Susan McCarthy McAuliffe, MD

• Obstetrics & Gynecology Physician in Pewaukee, WI
• Providers in Pewaukee, WI by specialty
• Obstetrics & Gynecology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2019; 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.