Organization Active NPI

Timothy J Malone MD and Associates PC

  • Ophthalmology Physician
  • Great Falls, VA
National Provider Identifier
1932336112
Registry record updated Aug 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
41129 Issued in VA
Legal business name
TIMOTHY J MALONE MD AND ASSOCIATES PC
Practice address
731 F Walker Road
Great Falls, VA 22066-2834
Phone
(703) 759-7016
Fax
(703) 759-7018
NPI assigned
Jun 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2012

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

Authorized official

Name
Dr. Timothy J. Malone, M.D.
Title
President
Phone
(703) 759-7016

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 41129 VA Primary

Addresses

Primary practice location

731 F Walker Road
Great Falls, VA 22066-2834

Mailing address

731 F Walker Road
Great Falls, VA 22066-2834
Phone (703) 759-7016

Other identifiers 1

IdentifierTypeStateIssuer
0063-2250-6MedicaidVA

National Provider Directory

National Provider Directory

Locations

731 Walker Rd
Ste F
Great Falls, VA 22066
Phone (703) 759-7016

NPI Registry JSON

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343952000000",
    "number": "1932336112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 F WALKER ROAD",
            "city": "GREAT FALLS",
            "state": "VA",
            "postal_code": "220662834",
            "telephone_number": "703-759-7016",
            "fax_number": "703-759-7018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 F WALKER ROAD",
            "city": "GREAT FALLS",
            "state": "VA",
            "postal_code": "220662834",
            "telephone_number": "703-759-7016",
            "fax_number": "703-759-7018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY J MALONE MD AND ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-16",
        "last_updated": "2012-08-03",
        "status": "A",
        "authorized_official_last_name": "MALONE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-759-7016",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "41129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0063-2250-6",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; 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.