Mallory Family Wellness, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

40960 Issued in CO

Legal business name

MALLORY FAMILY WELLNESS, LLC

Practice address

1548 Boise Ave
Loveland, CO 80538-4215

Phone

(970) 669-9245

Fax

(970) 669-9247

NPI assigned

Dec 27, 2012

Last updated

Dec 27, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Patrick Lawrence Mallory, DONPI 1164446514

Title

Owner/Physician

Phone

97066699245

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patrick Lawrence Mallory, D.O.

  • Family Medicine Physician
  • Loveland, CO
  • NPI 1164446514
  Authorized official Same address or phone

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

{
    "created_epoch": "1356566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356566400000",
    "number": "1801132576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1548 BOISE AVE",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805384215",
            "telephone_number": "970-669-9245",
            "fax_number": "970-669-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1548 BOISE AVE",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805384215",
            "telephone_number": "970-669-9245",
            "fax_number": "970-669-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALLORY FAMILY WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-27",
        "last_updated": "2012-12-27",
        "status": "A",
        "authorized_official_last_name": "MALLORY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "97066699245",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "40960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Anne Magrin, MA, CCC-SLP
• Kathleen Ann Maguire, MSOTR
• Arden Mahaffey, D.O.
• Anne Marie Mahon, RD
• Melisa D. Maling, LCSW
• Mallory Osteopathic Family Practice
• Mary Clare Mallory, L.AC.
• Patrick Lawrence Mallory, D.O.
• Lisa Ann Malone, CAS
• Micah James Maly, DPT

• Family Medicine Physician in Loveland, CO
• Providers in Loveland, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.