Organization Active NPI

A Doctor on Call

  • Primary Care Clinic/Center
  • Isle of Palms, SC
National Provider Identifier
1952515132
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
131146SC Issued in SC
Legal business name
A DOCTOR ON CALL
Practice address
1202 Palm Blvd
Isle of Palms, SC 29451-2296
Phone
(843) 886-4402
Fax
(843) 886-4430
NPI assigned
May 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kathleen R Malaney, M.D.NPI 1780682195
Title
Corporate Officer
Phone
(843) 886-4402

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 131146SC SC Primary

Addresses

Primary practice location

1202 Palm Blvd
Isle of Palms, SC 29451-2296

Mailing address

1202 Palm Blvd
Isle of Palms, SC 29451-2296
Phone (843) 886-4402

Other identifiers 1

IdentifierTypeStateIssuer
131146MedicaidSC

Other names 1

  • Kathy R Malaney Other name

National Provider Directory

National Provider Directory

Locations

1202 Palm Blvd
Isle of Palms, SC 29451
Phone (843) 886-4402

1202 Palm Blvd
Ste A
Isle of Palms, SC 29451
Phone (843) 270-7092

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952515132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 PALM BLVD",
            "city": "ISLE OF PALMS",
            "state": "SC",
            "postal_code": "294512296",
            "telephone_number": "843-886-4402",
            "fax_number": "843-886-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 PALM BLVD",
            "city": "ISLE OF PALMS",
            "state": "SC",
            "postal_code": "294512296",
            "telephone_number": "843-886-4402",
            "fax_number": "843-886-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A DOCTOR ON CALL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MALANEY",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CORPORATE OFFICER",
        "authorized_official_telephone_number": "843-886-4402",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "SC",
            "license": "131146SC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131146",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kathy R Malaney",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Isle of Palms, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.