Organization Active NPI

Izold a Malament MD Inc

  • Urology Physician
  • Willoughby, OH
National Provider Identifier
1841482395
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.