Albert K Mall MD PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MD023412E Issued in PA

Legal business name

ALBERT K MALL MD PC

Practice address

1111 Franklin St
Suite 230
Johnstown, PA 15905

Phone

(814) 262-7980

Fax

(814) 262-7983

NPI assigned

Jun 17, 2006

Organization subpart

No

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

Authorized official

Name

Albert K Mall, MD

Title

Owner MD

Phone

(814) 262-7980

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1982649802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 FRANKLIN ST",
            "address_2": "SUITE 230",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "15905",
            "telephone_number": "814-262-7980",
            "fax_number": "814-262-7983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 FRANKLIN ST",
            "address_2": "SUITE 230",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "15905",
            "telephone_number": "814-262-7980",
            "fax_number": "814-262-7983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERT K MALL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "MALL",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER MD",
        "authorized_official_telephone_number": "814-262-7980",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD023412E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015110720001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1772345",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE7604",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann Aiken
• Ralph Richard Aiken
• Noor Ul Ain
• Corinne M Akers, RN
• Nil Akgul, D.O.
• Janice Albert, RN, CDE
• MHD Amer Aldeiry, MD
• Salah Aldergash, MD
• Zulfiqar Ali, M.D.
• Iyad Aljadba, MD

• All providers in Johnstown, PA
• Obstetrics & Gynecology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.