Active NPI
Mark W. Maloney, D.O.
- Family Medicine Physician
- Du Bois, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS-009147-L
- Practice address
- 145 Hospital Ave
Suite 313
Du Bois, PA 15801-1462 - Phone
- (814) 375-3913
- Fax
- (814) 375-5258
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS-009147-L | PA | Primary |
| Hospitalist Physician | 208M00000X | OS009147L | PA |
Addresses
Primary practice location
145 Hospital Ave
Suite 313
Du Bois, PA 15801-1462
Mailing address
PO Box 447
Du Bois, PA 15801-0447
Phone (814) 375-3913
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0016968780003 | Medicaid | PA | |
| 000976061 | Other | PA | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS-009147-L | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apogee Medical Group of Pennsylvania PC | Current | Accepting new patients | |
| Apogee Medical Group of Pennsylvania PC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
100 Hospital Rd
Brookville, PA 15825
Phone (814) 849-1408
809 Turnpike Ave
Clearfield, PA 16830
Phone (814) 765-5341
100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040
1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498608000000",
"number": "1982610663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 447",
"city": "DU BOIS",
"state": "PA",
"postal_code": "158010447",
"telephone_number": "814-375-3913",
"fax_number": "814-375-5258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 HOSPITAL AVE",
"address_2": "SUITE 313",
"city": "DU BOIS",
"state": "PA",
"postal_code": "158011462",
"telephone_number": "814-375-3913",
"fax_number": "814-375-5258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALONEY",
"first_name": "MARK",
"middle_name": "W.",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2017-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS-009147-L",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "PA",
"license": "OS009147L",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0016968780003",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "000976061",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Du Bois, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.