JONATHAN R MALOWITZ


Address: 4123 Dutchmans Lane Suite 301, Suburban Medical Plaza 3, Louisville, KY 40207
Phone: 5028962500

JONATHAN R MALOWITZ (NPI# 1033371216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033371216
Entity Type Individual
Full Name JONATHAN R MALOWITZ
Credential MD
Practice Address 4123 Dutchmans Lane Suite 301
Suburban Medical Plaza 3
Louisville
KY 40207
Mailing Address Po Box 776351
Chicago
IL 60677-6351
Practice Telephone 5028962500
Practice Fax Number 5028962527
Mailing Telephone 5025889490
Mailing Fax Number 5022725116
Enumeration Date 2008-06-27
Last Update Date 2019-10-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208000000X Pediatrics 47264 KY Allopathic & Osteopathic Physicians
N 208000000X Pediatrics 236963 MA Allopathic & Osteopathic Physicians
Y 2080N0001X Pediatrics
Specialization: Neonatal-Perinatal Medicine
47264 KY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
KY SIHO-KCNS 163566 01
KY 7100309620 05
KY ANTHEM-KCNS 000000881354 01
KY PASSPORT-KCNS 1033371216 01

Office Location

Street Address 4123 DUTCHMANS LANE SUITE 301
SUBURBAN MEDICAL PLAZA 3
City LOUISVILLE
State KY
Zip Code 40207

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NPI Name Taxonomy Address Enumeration
1780212688 Alexia Louise Bodamer Student in an Organized Health Care Education/Training Program 142 Chenoweth Lane, Lousiville, KY 40207 2020-03-28
1467918664 Amy Rock LLC Counselor 4010 Dupont Cir Ste 307, Louisville, KY 40207 2019-02-13
1649745191 Louisville Optometric Center, IIi, Psc Optometrist 285 Hubbards Lane, Suite 300, Louisville, KY 40207 2018-10-11
1184137440 Crimson Dove Counseling Services Inc Community/Behavioral Health 214 Breckenridge Ln., Suite 203, Louisville, KY 40207 2017-11-09
1285157586 Dickerson Family Enterprise, LLC Non-emergency Medical Transport (VAN) 4350 Brownsboro Rd., Ste. 110, Louisville, KY 40207 2017-07-19
1578085296 Cardiovascular Medical Specialists LLC Surgery 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 2017-07-14
1932636305 Devon Turley Prevention Professional 1017 Dupont Rd, Suite 1, Louisville, KY 40207 2017-05-17
1285095539 Emily Schwartz Crouch Marriage & Family Therapist 4010 Dupont Circle, Suite 582, Louisville, KY 40207 2016-03-15
1306201280 A A and Associates Approved Alcohol/drug Program Counselor 4006 Dutchmans Lane, Louisville, KY 40207 2015-12-21
1629433693 Jewish Hospital and St. Mary's Healthcare, Inc. General Acute Care Hospital 3290 Dutchmans Lane, Louisville, KY 40207 2015-12-17
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Taxonomy Information

Taxonomy Code 2080N0001X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Neonatal-Perinatal Medicine

Taxonomy Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265996961 Rebecca Decker Pediatrics 571 S Floyd St Ste 342, Louisville, KY 40202-3816 2019-01-27
1265676142 Hannah Fischer Pediatrics 571 South Floyd Strret, Ste 342, Louisville, KY 40202 2009-04-23
1730219395 Saify Abbasi Pediatrics 3170 Running Deer Cir, Louisville, KY 40241-6566 2007-03-06
1972693851 Neonatal Associates Pediatrics 601 S Floyd, Ste 804, Louisville, KY 40202 2006-10-13
1144298316 Ketan C Mehta Pediatrics 4123 Dutchmans Ln Ste 301, Louisville, KY 40207-4721 2006-03-14
1427040443 Scott D Duncan Pediatrics 411 E Chestnut St # 2, Louisville, KY 40202-1713 2005-08-16
1801896592 Karen W Bibb Pediatrics 571 S Floyd St, Suite 342, Louisville, KY 40202-3818 2005-07-26
1114527520 Sheridan Childrens Healthcare Services of Colorado PC Pediatrics 100 Health Park Dr, Louisville, CO 80027-9583 2020-10-27
1659637338 University of Louisville Physicians, Inc. Pediatrics 601 S Floyd St, Suite 804, Louisville, KY 40202-1835 2012-04-06
1215293949 University of Louisivlle Research Foundation Pediatrics 601 S Floyd St, Suite 801, Louisville, KY 40202-1835 2012-04-06
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Competitor

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City LOUISVILLE
Zip Code 40207

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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