Thomas A Malec, M.D., P.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

4301026401 Issued in MI

Practice address

515 Lakeside Dr SE
Suite 207
Grand Rapids, MI 49506-2931

Phone

(616) 459-3564

Fax

(616) 459-3868

NPI assigned

Sep 6, 2005

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

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.

• Thomas a Malec MD PC

  • Exclusive Provider Organization
  • Grand Rapids, MI
  • NPI 1346414620
  NPD (past) Authorized official

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219881600000",
    "number": "1619961778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 LAKESIDE DR SE",
            "address_2": "SUITE 207",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495062931",
            "telephone_number": "616-459-3564",
            "fax_number": "616-459-3868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 LAKESIDE DR SE",
            "address_2": "SUITE 207",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495062931",
            "telephone_number": "616-459-3564",
            "fax_number": "616-459-3868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALEC",
        "first_name": "THOMAS",
        "middle_name": "A",
        "credential": "M.D., P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-06",
        "last_updated": "2008-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301026401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1059530",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nebojsa Malbasa
• Katelyn Anne Malbrecht, PA
• Sheri Ann Malcolm, PHARMD
• Maria Maldonado
• Olivia Male
• Elizabeth J Maleski
• Malibu Group LLC
• Carrie Malin, PT
• Melissa Malinoski, PA-C
• Kari Mae Malinowski, PA-C

• Ophthalmology Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.