NPIMap

Organization Active NPI

Mallory Osteopathic Family Practice

  • Family Medicine Physician
  • Loveland, CO
National Provider Identifier
1619045473
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
40960 Issued in CO
Legal business name
MALLORY OSTEOPATHIC FAMILY PRACTICE
Practice address
1548 N Boise Avenue
Loveland, CO 80538-4125
Phone
(970) 669-9245
Fax
(970) 669-9247
NPI assigned
Dec 1, 2006
Last updated
Jan 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

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

Authorized official

Name
Dr. Patrick Lawrence Mallory, DONPI 1164446514
Title
Physician Owner
Phone
(970) 669-9245

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 40960 CO Primary

Addresses

Primary practice location

1548 N Boise Avenue
Loveland, CO 80538-4125

Mailing address

1548 N Boise Avenue
Loveland, CO 80538-4125
Phone (970) 669-9245

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1619045473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1548 N BOISE AVENUE",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805384125",
            "telephone_number": "970-669-9245",
            "fax_number": "970-669-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1548 N BOISE AVENUE",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805384125",
            "telephone_number": "970-669-9245",
            "fax_number": "970-669-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALLORY OSTEOPATHIC FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "MALLORY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "970-669-9245",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "40960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; 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.