Dr Andrew Malinchak Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

044012 Issued in GA

Legal business name

DR ANDREW MALINCHAK INC

Practice address

4128 Highway 278 NE
Covington, GA 30014-2494

Phone

(770) 788-9199

Fax

(770) 788-6774

NPI assigned

Dec 18, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Andrew James Malinchak, DONPI 1700810116

Title

Physician

Phone

(770) 788-9199

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew James Malinchak, D.O.

  • Family Medicine Physician
  • East Point, GA
  • NPI 1700810116
  NPD (past) Authorized official

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

{
    "created_epoch": "1418860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418860800000",
    "number": "1831597103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4128 HIGHWAY 278 NE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142494",
            "telephone_number": "770-788-9199",
            "fax_number": "770-788-6774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4128 HIGHWAY 278 NE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142494",
            "telephone_number": "770-788-9199",
            "fax_number": "770-788-6774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ANDREW MALINCHAK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-18",
        "last_updated": "2014-12-18",
        "status": "A",
        "authorized_official_last_name": "MALINCHAK",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "770-788-9199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "044012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00760427C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana Dixon
• Rosalie Therese Dixson, CNM
• Heather Leslie Dobbs
• Brandy Dodge, ATC
• Maureen W Dodgen
• Dr Tedrick Rasheed & Associates PC
• Dr. Bill Gramzinski, D.M.D., P.C.
• Vanessa Drummond Virgin, CFTS
• Jasmyn Drummond, LMSW
• Dsi Renal Inc

• Family Medicine Physician in Covington, GA
• Providers in Covington, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.