Active NPI
Tony M. Maalouf, M.D.,P.C.
- Specialist
- Butler, PA
National Provider Identifier
1881898518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD054326L
- Legal business name
- TONY M. MAALOUF, M.D.,P.C.
- Practice address
- 407 W Jefferson St Ste B
Butler, PA 16001-5485 - Phone
- (724) 283-1005
- Fax
- (724) 283-4612
- NPI assigned
- Jun 14, 2007
- Organization subpart
- Yes
- Parent organization
- NO
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Tony Maurice Maalouf, M.D.
- Title
- Physician
- Phone
- (724) 283-1005
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD054326L | PA | Primary |
Addresses
Primary practice location
407 W Jefferson St Ste B
Butler, PA 16001-5485
Mailing address
407 W Jefferson St Ste B
Butler, PA 16001-5485
Phone (724) 283-1005
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100052 | Other | PA | BLACK LUNG |
| PO38742 | Other | PA | CHAMPUS |
| 1455350 | Other | PA | BLUE CROSS BLUE SHIELD |
| 0015480890002 | Medicaid | PA | |
| 1493787 | Other | PA | UNITED MINE WORKERS |
| 3272431 | Other | PA | AETNA |
| 1500112 | Other | PA | GATEWAY |
| 5451223 | Other | PA | US HEALTHCARE PPO |
| 0000785204 | Other | PA | BLUE SHIELD INDIVIDUAL |
| 140961 | Other | PA | UNISON |
| 2144417000 | Other | PA | BLUE CROSS BLUE SHIELD IN |
| 203064 | Other | PA | HEALTH AMERICA ASSURANCE |
National Provider Directory
National Provider Directory- Part of
- Tony M Maalouf MDPC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgical Physician Assistant
- Butler, PA
- NPI 1376639443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1881898518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 W JEFFERSON ST STE B",
"city": "BUTLER",
"state": "PA",
"postal_code": "160015485",
"telephone_number": "724-283-1005",
"fax_number": "724-283-4612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 W JEFFERSON ST STE B",
"city": "BUTLER",
"state": "PA",
"postal_code": "160015485",
"telephone_number": "724-283-1005",
"fax_number": "724-283-4612"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TONY M. MAALOUF, M.D.,P.C.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NO",
"enumeration_date": "2007-06-14",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "MAALOUF",
"authorized_official_first_name": "TONY",
"authorized_official_middle_name": "MAURICE",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "724-283-1005",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "PA",
"license": "MD054326L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLACK LUNG",
"identifier": "100052",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "PO38742",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1455350",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0015480890002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED MINE WORKERS",
"identifier": "1493787",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3272431",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "1500112",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US HEALTHCARE PPO",
"identifier": "5451223",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD INDIVIDUAL",
"identifier": "0000785204",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON",
"identifier": "140961",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD IN",
"identifier": "2144417000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMERICA ASSURANCE",
"identifier": "203064",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Butler, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.