Active NPI
Mark D Malinowski, MD
- Pediatrics Physician
- Garfield HTS, OH
National Provider Identifier
1730101106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35-073510
- Practice address
- 13201 Granger Rd Ste 2
Garfield HTS, OH 44125-1979 - Phone
- (216) 475-8844
- Fax
- (216) 475-3816
- NPI assigned
- Jul 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35-073510 | OH | Primary |
Addresses
Primary practice location
13201 Granger Rd Ste 2
Garfield HTS, OH 44125-1979
Mailing address
24701 Euclid Ave
Euclid, OH 44117-1714
Phone (216) 475-8844
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2123491 | Other | OH | BCMH |
| 2123491 | Medicaid | OH | |
| 2156576 | Other | OH | AETNA |
| 000000221398 | Other | OH | UNISON |
| 732591 | Other | OH | BUCKEYE |
| 363799 | Other | OH | WELLCARE |
| 000000182666 | Other | OH | ANTHEM |
| 000000526085 | Other | OH | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Primary Care Practices | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- mmalinowski81997@ehrdirect.uhhospitals.org
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Twinsburg, OH
- NPI 1326166752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311897600000",
"number": "1730101106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24701 EUCLID AVE",
"city": "EUCLID",
"state": "OH",
"postal_code": "441171714",
"telephone_number": "216-475-8844",
"fax_number": "216-475-3816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13201 GRANGER RD STE 2",
"city": "GARFIELD HTS",
"state": "OH",
"postal_code": "441251979",
"telephone_number": "216-475-8844",
"fax_number": "216-475-3816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALINOWSKI",
"first_name": "MARK",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2011-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35-073510",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCMH",
"identifier": "2123491",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2123491",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2156576",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON",
"identifier": "000000221398",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BUCKEYE",
"identifier": "732591",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "363799",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000182666",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000526085",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Garfield HTS, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.