Maximilian Malotky, M.D., Inc.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

A148839 Issued in CA

Legal business name

MAXIMILIAN MALOTKY, M.D., INC.

Practice address

1800 Buenaventura Blvd Ste 200
Redding, CA 96001-3700

Phone

15306388868

NPI assigned

Sep 26, 2017

Last updated

Sep 26, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Janet Allison Erwin

Title

Business Manager

Phone

(530) 638-8868

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maximilian Von Malotky, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Redding, CA
  • NPI 1841582202
  Medicare reassignment NPD

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506384000000",
    "number": "1942719513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 BUENAVENTURA BLVD STE 200",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960013700",
            "telephone_number": "15306388868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 BUENAVENTURA BLVD STE 200",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960013700",
            "telephone_number": "15306388868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIMILIAN MALOTKY, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-26",
        "last_updated": "2017-09-26",
        "status": "A",
        "authorized_official_last_name": "ERWIN",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "ALLISON",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "530-638-8868",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A148839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Steven Maul
• Heather Mauldin
• Robert E. Maurer, M.D.
• Maxim Healthcare Services, Inc.
• Maxim Rehab Inc. (Maxim Physical Therapy)
• Hannah Maxwell
• Christine M Mayerchak, PSY.D.
• Kimberley Michele Mayes, MD, RDMS
• Amber Mayo
• Dianna Louise Mayo, AMFT

• Plastic Surgery Physician in Redding, CA
• Providers in Redding, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.