Active NPI
James T Malouf, M.D.
- Orthopaedic Surgery Physician
- Logan, UT
National Provider Identifier
1790788503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 1654981205
- Practice address
- 274 N Main St
Logan, UT 84321-3915 - Phone
- (435) 753-1600
- Fax
- (435) 753-9521
- NPI assigned
- May 24, 2005
- Reactivated
- Mar 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 1654981205 | UT | Primary |
Addresses
Primary practice location
274 N Main St
Logan, UT 84321-3915
Mailing address
2380 N 400 E
N Logan, UT 84341-1749
Phone (435) 792-4100
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1654981205 | UT | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200614400000",
"number": "1790788503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2380 N 400 E",
"city": "N LOGAN",
"state": "UT",
"postal_code": "843411749",
"telephone_number": "435-792-4100",
"fax_number": "435-752-4662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "274 N MAIN ST",
"city": "LOGAN",
"state": "UT",
"postal_code": "843213915",
"telephone_number": "435-753-1600",
"fax_number": "435-753-9521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALOUF",
"first_name": "JAMES",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-05-24",
"last_updated": "2008-01-18",
"deactivation_date": "2006-03-17",
"reactivation_date": "2006-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "UT",
"license": "1654981205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Logan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.