Active NPI
Izold a Malament MD Inc
- Urology Physician
- Willoughby, OH
National Provider Identifier
1841482395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- IZOLD A MALAMENT MD INC
- Practice address
- 36001 Euclid Ave Ste B12
Willoughby, OH 44094-4643 - Phone
- (440) 975-1190
- NPI assigned
- Aug 17, 2007
- Last updated
- Oct 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Izold A Malament, MD
- Title
- President
- Phone
- (440) 975-1190
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | NU | Primary |
Addresses
Primary practice location
36001 Euclid Ave Ste B12
Willoughby, OH 44094-4643
Mailing address
36001 Euclid Ave Ste B12
Willoughby, OH 44094-4643
Phone (614) 430-5724
National Provider Directory
National Provider DirectoryLocations
36001 Euclid Ave
#B12
Willoughby, OH 44094
Phone (440) 975-1190
36001 Euclid Ave
Ste B12
Willoughby, OH 44094
Phone (440) 975-1190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187308800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192665600000",
"number": "1841482395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36001 EUCLID AVE STE B12",
"city": "WILLOUGHBY",
"state": "OH",
"postal_code": "440944643",
"telephone_number": "614-430-5724",
"fax_number": "614-430-5742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36001 EUCLID AVE STE B12",
"city": "WILLOUGHBY",
"state": "OH",
"postal_code": "440944643",
"telephone_number": "440-975-1190"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IZOLD A MALAMENT MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-17",
"last_updated": "2007-10-18",
"status": "A",
"authorized_official_last_name": "MALAMENT",
"authorized_official_first_name": "IZOLD",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "440-975-1190",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Willoughby, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.