Active NPI
David G Malone, MD
- Neurological Surgery Physician
- Tulsa, OK
National Provider Identifier
1932149408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 19416
- Practice address
- 1919 S Wheeling Ave
Ste # 706
Tulsa, OK 74104-5638 - Phone
- (918) 794-5543
- Fax
- (918) 794-5548
- NPI assigned
- Jun 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 19416 | OK | Primary |
Addresses
Primary practice location
1919 S Wheeling Ave
Ste # 706
Tulsa, OK 74104-5638
Mailing address
PO Box 21228
Dept 54
Tulsa, OK 74121-1228
Phone (918) 794-5542
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100195150A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- University of Kansas School of Med (KC/Wich/Sal), 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1919 S Wheeling Ave
Suite 706
Tulsa, OK 74104-5636
Phone (918) 794-5542
Hospital & facility affiliations
- Ascension St John Medical Center
- Northeastern Health System
- Ascension St John Jane Phillips
- St John Owasso
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 78 |
| Laminectomy or laminotomy (partial removal of spine bones) | 35 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19416 | OK | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David G Malone, MD, PLC | Neurological Surgery | Current | Accepting new patients |
| St John Medical Center Inc | Past | Accepting new patients |
Locations
1919 S Wheeling Ave
Ste 706
Tulsa, OK 74104
Phone (918) 794-5542
Organizations & group practices 2
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.
-
- Neurological Surgery Physician
- Tulsa, OK
- NPI 1356471973
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1154417368
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bartlesville, OK
- NPI 1215914254
-
- Medicare Defined Swing Bed Hospital Unit
- Bartlesville, OK
- NPI 1427428986
-
- General Acute Care Hospital
- Tahlequah, OK
- NPI 1003865999
-
- Addiction (Substance Use Disorder) Counselor
- Tahlequah, OK
- NPI 1689338519
Hospital
-
- General Acute Care Hospital
- Owasso, OK
- NPI 1144231432
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1154417368
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1578656161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251849600000",
"number": "1932149408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 21228",
"address_2": "DEPT 54",
"city": "TULSA",
"state": "OK",
"postal_code": "741211228",
"telephone_number": "918-794-5542",
"fax_number": "918-794-5548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 S WHEELING AVE",
"address_2": "STE # 706",
"city": "TULSA",
"state": "OK",
"postal_code": "741045638",
"telephone_number": "918-794-5543",
"fax_number": "918-794-5548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALONE",
"first_name": "DAVID",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2009-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "OK",
"license": "19416",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100195150A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.