NPIMap

Organization Active NPI

C.Malcmacher

  • PACE Provider Organization
  • Bay Village, OH
National Provider Identifier
1942591805
Registry record updated Apr 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
Legal business name
C.MALCMACHER
Practice address
27239 Wolf Rd
Bay Village, OH 44140-2020
Phone
(440) 892-1810
Fax
(440) 892-8747
NPI assigned
Apr 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2011

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

Authorized official

Name
Louis Malcmacher, DDS MAGDNPI 1306868609
Title
President
Phone
(440) 892-1810

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PACE Provider Organization 251T00000X Primary

Addresses

Primary practice location

27239 Wolf Rd
Bay Village, OH 44140-2020

Mailing address

27239 Wolf Rd
Bay Village, OH 44140-2020
Phone (440) 892-1810

National Provider Directory

National Provider Directory

Locations

27239 Wolf Rd
Bay Village, OH 44140
Phone (440) 892-1810

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303862400000",
    "number": "1942591805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27239 WOLF RD",
            "city": "BAY VILLAGE",
            "state": "OH",
            "postal_code": "441402020",
            "telephone_number": "440-892-1810",
            "fax_number": "440-892-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27239 WOLF RD",
            "city": "BAY VILLAGE",
            "state": "OH",
            "postal_code": "441402020",
            "telephone_number": "440-892-1810",
            "fax_number": "440-892-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C.MALCMACHER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-27",
        "last_updated": "2011-04-27",
        "status": "A",
        "authorized_official_last_name": "MALCMACHER",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-892-1810",
        "authorized_official_credential": "DDS MAGD"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Village, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; 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.