Virginia Ann Malkoskie, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OE007917T Issued in PA

Practice address

9300 State Route 61
Coal Township, PA 17866-4178

Phone

(570) 648-8888

Fax

(570) 648-8999

NPI assigned

May 23, 2006

Last updated

Aug 14, 2015By the provider in NPPES

Sex

Female

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

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1996

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439510400000",
    "number": "1730134263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 STATE ROUTE 61",
            "city": "COAL TOWNSHIP",
            "state": "PA",
            "postal_code": "178664178",
            "telephone_number": "578-648-8888",
            "fax_number": "570-648-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 STATE ROUTE 61",
            "city": "COAL TOWNSHIP",
            "state": "PA",
            "postal_code": "178664178",
            "telephone_number": "570-648-8888",
            "fax_number": "570-648-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALKOSKIE",
        "first_name": "VIRGINIA",
        "middle_name": "ANN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2015-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OE007917T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "U75884",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Lynn Koons, LSW
• James Ryan Kustanbauter, PHARMD
• Louise Litzy, PT
• Ashley Elizabeth Long, PSY. D.
• Daniel Roland Longacre, PA-C
• Balkishan Jagadishbhai Malviya
• Kristen Marie Mastrantoni, MD
• Tracey A McGinley, CRNP
• Sarah M McIntyre, DPT
• Merakey Pennsylvania

• Optometrist in Coal Township, PA
• Providers in Coal Township, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.