Aven Dawn Malec, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34-007967 Issued in OH

Practice address

6300 Wilson Mills Rd
W31
Mayfield Village, OH 44143-2109

Phone

(855) 893-1033

Fax

(855) 529-7659

NPI assigned

Mar 27, 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 7

Medicare fee-for-service enrollment

Enrolled in OH

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 Osteopathy, Doctor of Medicine

State licenses

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.

• Lake Hospital System Inc.

  • Urgent Care Clinic/Center
  • Willowick, OH
  • NPI 1912967209

  Family Medicine

  NPD (past)
• Lake Hospital System, Inc

  • Urgent Care Clinic/Center
  • Madison, OH
  • NPI 1134189376

  Family Medicine

  NPD (past)
• Lake Hospital System, Inc

  dba Lake Health Urgent Care and Walk In Clinic

  • Urgent Care Clinic/Center
  • Chardon, OH
  • NPI 1689634966

  Family Medicine

  NPD (past)
• Progressive Casualty Insurance Company

  • Primary Care Clinic/Center
  • Mayfield Village, OH
  • NPI 1447491410
  NPD (past)

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465862400000",
    "number": "1700846466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 WILSON MILLS RD",
            "address_2": "W31",
            "city": "MAYFIELD VILLAGE",
            "state": "OH",
            "postal_code": "441432109",
            "telephone_number": "855-893-1033",
            "fax_number": "855-529-7659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 WILSON MILLS RD",
            "address_2": "W31",
            "city": "MAYFIELD VILLAGE",
            "state": "OH",
            "postal_code": "441432109",
            "telephone_number": "855-893-1033",
            "fax_number": "855-529-7659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALEC",
        "first_name": "AVEN",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2016-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-007967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL OF OHIO",
            "identifier": "341425870042",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "264200000",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "6600162",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2472917",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "80507",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000339430",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG",
            "identifier": "264200000",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krista Smith (A Clear Mind Therapy)
• Laura A Kwasniak, MD
• Robin Leichtman, PHD, LPCC
• Melissa Li-NG, M.D.
• Madilyn Maikut, BCBA, COBA
• David R Mandel, M.D.
• Stephanie R Marder
• Margaret D. Ashenberg, LLC
• Marian E. Krieger, PH.D.,LLC
• Sandra A Martin, A.T.C.

• Family Medicine Physician in Mayfield Village, OH
• Providers in Mayfield Village, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; 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.