Patricia Jo Thomson Malone, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

22314 Issued in WV

Practice address

9000 Coombs Farm Rd Ste 102
Morgantown, WV 26508-1150

Phone

(304) 599-8000

Fax

(304) 599-8003

NPI assigned

Jul 12, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Cardinal Pediatrics PLLC

  • Pediatrics Physician
  • Morgantown, WV
  • NPI 1548272651
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1598780702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1247 SUNCREST TOWN CENTRE DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051876",
            "telephone_number": "304-599-8000",
            "fax_number": "304-599-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 COOMBS FARM RD STE 102",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265081150",
            "telephone_number": "304-599-8000",
            "fax_number": "304-599-8003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 SIMS CIR",
            "address_purpose": "LOCATION",
            "city": "TRIADELPHIA",
            "state": "WV",
            "postal_code": "260591154",
            "country_code": "US",
            "telephone_number": "304-599-8000",
            "fax_number": "304-599-8003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1247 Suncrest Town Centre Dr",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265051876",
            "country_code": "US",
            "telephone_number": "304-599-8000",
            "fax_number": "304-599-8003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALONE",
        "first_name": "PATRICIA",
        "middle_name": "JO THOMSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WV",
            "license": "22314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810006394",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer A Mallow, FNP-BC
• Karen Louise Mallow, CNP
• Sarah Elizabeth Mallow, PHARMD
• Zebulun Mallow
• Beverly Jean Malone, CRNA
• Paul F Malone, MD
• Ashley Nichole Malott
• Taylor Maltba, NP
• Stacy Brynn Maltese, RN, BSN, FNP-BC
• Amanda Mamajek, APRN

• Pediatrics Physician in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Pediatrics Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; 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.