Elizabeth C Malko, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

237264 Issued in MA

Practice address

1 Chestnut PL
Ten Chestnut Street
Worcester, MA 01608-2898

Phone

(508) 368-9813

NPI assigned

Sep 26, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Prohealth Physicians PC

  • Family Medicine Physician
  • Farmington, CT
  • NPI 1720194053
  NPD (past)

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222387200000",
    "number": "1851541882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 QUARRY RD",
            "city": "CHESTER",
            "state": "VT",
            "postal_code": "051438466",
            "telephone_number": "508-368-9813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHESTNUT PL",
            "address_2": "TEN CHESTNUT STREET",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016082898",
            "telephone_number": "508-368-9813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALKO",
        "first_name": "ELIZABETH",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-26",
        "last_updated": "2008-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "237264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Robert Malinowski, MD
• Indrani Malkani, MD
• Samir Malkani, M.D.
• Jane Ellen Malkiewich, MSW
• Diana H. Malkin, M.ED., CAGS
• Kathleen Lynn Mallet
• Patricia Mallory
• Patrick Adam Malloy, BCBA, LABA
• Susan Geyer Malloy, CCC/SLP
• Melody Diamond Mallozzi, CNP

• Family Medicine Physician in Worcester, MA
• Providers in Worcester, MA by specialty
• Family Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.

Verify at the official NPI Registry.