Active NPI
Emery James Maloney, CO
- Orthotist
- Green Bay, WI
National Provider Identifier
1730559931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- Practice address
- 445 Cardinal LN Ste 110
Green Bay, WI 54313-9587 - Phone
- (920) 940-5277
- Fax
- (844) 308-8462
- NPI assigned
- Sep 30, 2015
- Last updated
- Oct 12, 2018
- 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 |
|---|---|---|---|---|
| Orthotist | 222Z00000X | NU | Primary |
Addresses
Primary practice location
445 Cardinal LN Ste 110
Green Bay, WI 54313-9587
Mailing address
445 Cardinal LN Ste 110
Green Bay, WI 54313-9587
Phone (920) 940-5277
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Align Clinic, LLC | Orthotist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539302400000",
"number": "1730559931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 CARDINAL LN STE 110",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543139587",
"telephone_number": "920-940-5277",
"fax_number": "844-308-8462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 CARDINAL LN STE 110",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543139587",
"telephone_number": "920-940-5277",
"fax_number": "844-308-8462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALONEY",
"first_name": "EMERY",
"middle_name": "JAMES",
"credential": "CO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-30",
"last_updated": "2018-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.