Michael O'Malley, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD051141L Issued in PA

Practice address

751 Liberty St
Meadville, PA 16335

Phone

(814) 333-5144

Fax

(814) 373-2255

NPI assigned

Jan 5, 2006

Sex

Male

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

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Ut Regional One Physicians Inc

  • Surgery Physician
  • Memphis, TN
  • NPI 1093130585

  Diagnostic Radiology

  Medicare reassignment NPD
• Michael Omalley MD

  • Diagnostic Radiology Physician
  • Jamestown, TN
  • NPI 1629113287
  NPD (past) Authorized official
• Ut Regional One Physicians Inc

  • Anesthesiology Physician
  • Memphis, TN
  • NPI 1285042028
  NPD
• Abercrombie Radiological Consultants Inc

  • Diagnostic Radiology Physician
  • Knoxville, TN
  • NPI 1942207154
  NPD (past)
• Cumberland Imaging Associates, PC

  • Specialist
  • Cookeville, TN
  • NPI 1437279262
  NPD (past)
• Knoxville Radiological Group Associated

  • Diagnostic Radiology Physician
  • Knoxville, TN
  • NPI 1881753044
  NPD (past)
• Tennessee Valley Radiology LLC

  • Diagnostic Radiology Physician
  • Sweetwater, TN
  • NPI 1356367551
  NPD (past)

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1649258062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 LIBERTY ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352559",
            "telephone_number": "814-333-5144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 LIBERTY ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "16335",
            "telephone_number": "814-333-5144",
            "fax_number": "814-373-2255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "877 Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "38103",
            "country_code": "US",
            "telephone_number": "901-545-7100",
            "fax_number": "901-448-4450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "877 Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "38103",
            "country_code": "US",
            "telephone_number": "901-545-7100",
            "fax_number": "901-448-4450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'MALLEY",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "MD25732",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD051141L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3084726",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Novacare Outpatient Rehabilitation East, Inc.
• Cynthia D Novotny, PA-C
• Pamela K O' Laughlin
• Shannon Nicole O'Brien, PA
• Erin Michelle O'Dell, PHARMD
• Ryan O'Sullivan, CRNA
• Oakes Chiropractic
• Mark W Oakes, DC
• Larissa Oberlander, PA
• Melissa Oesterling

• Diagnostic Radiology Physician in Meadville, PA
• Providers in Meadville, PA by specialty
• Diagnostic Radiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.