Active NPI
Ronald H Malcom, MD
- Radiation Oncology Physician
- Carlisle, PA
National Provider Identifier
1750378238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- MD043921L
- Practice address
- 25 Sprint Dr
Carlisle, PA 17015-7696 - Phone
- (717) 960-3750
- Fax
- (717) 960-3734
- NPI assigned
- Sep 30, 2005
- 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 |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | MD043921L | PA | Primary |
Addresses
Primary practice location
25 Sprint Dr
Carlisle, PA 17015-7696
Mailing address
409 S 2ND St Ste 2F
Harrisburg, PA 17104-1612
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 158401400 | Medicaid | MD | |
| 001238344 | Medicaid | PA |
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 |
|---|---|---|---|
| Carlisle Medical Group, LLC | Past | Accepting new patients | |
| Lancaster Hma Physician Management, LLC | Past | Accepting new patients | |
| Cherry Tree Physician Associates PC | Radiation Oncology | Past | Accepting new patients |
| Quantum Imaging & Therapeutic Associates Inc | Radiation Oncology | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Lancaster, PA
- NPI 1538396528
-
- Radiation Oncology Physician
- Hanover, PA
- NPI 1770569147
-
- Family Medicine Physician
- Lancaster, PA
- NPI 1932272341
-
- Diagnostic Radiology Physician
- Lewisberry, PA
- NPI 1609863893
Radiation Oncology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537574400000",
"number": "1750378238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 S 2ND ST STE 2F",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171041612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 SPRINT DR",
"city": "CARLISLE",
"state": "PA",
"postal_code": "170157696",
"telephone_number": "717-960-3750",
"fax_number": "717-960-3734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALCOM",
"first_name": "RONALD",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-30",
"last_updated": "2018-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "PA",
"license": "MD043921L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "158401400",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001238344",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carlisle, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.