Antwone S Mallory, STNA-OHIO

Primary specialty

Transportation Network CompanyTaxonomy code 342000000X

License

602858401024 Issued in OH

Practice address

PO Box 13222
Dayton, OH 45413-0222

Phone

(937) 269-7554

NPI assigned

Jan 8, 2026

Last updated

Sep 1, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1767830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1568329654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13222",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454130222",
            "telephone_number": "937-269-7554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 13222",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454130222",
            "telephone_number": "937-269-7554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLORY",
        "first_name": "ANTWONE",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "STNA-OHIO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-01-08",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": "OH",
            "license": "602858401024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reenet Kurian Maliel, PHARMD
• Sunita Mall, MD
• Rohith Malladi, DO
• Susan Marie Mallett, RN, MS, APN
• Penny J Mallison, LPCC-S
• Gloria Mallory
• James Mallory, QMHS
• Jessica Renea Mallory
• Rebecca Mallory
• Robin Danual Mallory, LPN

• Transportation Network Company in Dayton, OH
• Providers in Dayton, OH by specialty
• Transportation Network Company in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; 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.