DR. MICHAEL E ABDUL-MALAK (NPI# 1053317990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053317990 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL E ABDUL-MALAK |
| Credential | MD |
| Practice Address |
2151 Shenango Valley Fwy Ste A-2 Hermitage PA 16148-2586 |
| Mailing Address |
Po Box 1318 Hermitage PA 16148-0318 |
| Practice Telephone | 7243474561 |
| Practice Fax Number | 7243474566 |
| Mailing Telephone | 7243474561 |
| Mailing Fax Number | 7243474566 |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2019-01-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | MD052122L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 001468424/0005 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 875 N Hermitage Rd, Ste 1, Hermitage, PA 161483278 | 7243474561 | 7243474566 |
| Street Address |
2151 SHENANGO VALLEY FWY STE A-2 |
| City | HERMITAGE |
| State | PA |
| Zip Code | 16148-2586 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407974868 | Michael E Abdul-malak, Md, LLC | Obstetrics & Gynecology | 2151 Shenango Valley Fwy Ste A-2, Hermitage, PA 16148 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571165 | Cassandra L Holder | Physical Therapist | 1559 N. Hermitage Rd, Hermitage, PA 16148 | 2020-09-01 |
| 1750927190 | Hermitage Endoscopy Center Inc | Clinic/Center | 949 N Hermitage Road, Hermitage, PA 16148 | 2019-11-20 |
| 1336791318 | Catlyn Marie Joseph | Pharmacist | 1851 East State St, Rite Aid Store #10995, Hermitage, PA 16148 | 2019-07-10 |
| 1386203107 | Kaitlyn Mostard-smith | Physical Therapist | 1599 N. Hermitage Rd., Hermitage, PA 16148 | 2019-06-06 |
| 1770001513 | Lee Ann Hougelman | Licensed Practical Nurse | 5454 E. State St., Hermitage, PA 16148 | 2017-08-31 |
| 1194245001 | Samantha C Kilar | Audiologist | 1623 Dutch Lane, Hermitage, PA 16148 | 2017-06-21 |
| 1538419197 | Sharon Lynn Taylor | Physician Assistant | 480 N Kerrwood Dr Ste 103, Hermitage, PA 16148 | 2012-09-11 |
| 1912289638 | Amanda Jo Kline | Physical Therapy Assistant | 260 S Buhl Farm Drive, Whispering Oaks Suite 326, Hermitage, PA 16148 | 2011-09-20 |
| 1447548573 | Robert Joseph Jackson | Licensed Practical Nurse | 5454 East State St, Hermitage, PA 16148 | 2011-07-11 |
| 1386974673 | Susan Dawn Mehallick | Specialist/Technologist | 1005 Campus Circle, Hermitage, PA 16148 | 2010-01-08 |
| Find all providers in zip 16148 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215448303 | Summit Obstetrics and Women's Health, Pllc | Obstetrics & Gynecology | 5651 Frist Blvd Ste 213, Hermitage, TN 37076-2056 | 2017-10-17 |
| 1497118095 | Logan Kai Williams | Obstetrics & Gynecology | 5651 Frist Blvd Ste 500, Hermitage, TN 37076-2059 | 2016-03-31 |
| 1144582081 | Kimberly Ann Hunt | Obstetrics & Gynecology | 5653 Frist Blvd Ste 738, Hermitage, TN 37076-2066 | 2012-06-15 |
| 1255502183 | Carolyn C. Thompson, M.d. ; PC | Obstetrics & Gynecology | 5651 Frist Blvd Ste 505, Hermitage, TN 37076-2059 | 2008-03-19 |
| 1609073626 | Alisa Roseann Bowersock | Obstetrics & Gynecology | 5651 Frist Blvd Ste 201, Hermitage, TN 37076 | 2007-07-02 |
| 1528047776 | Rebecca M Hanigosky | Obstetrics & Gynecology | 480 N Kerrwood Dr, Suite 103, Hermitage, PA 16148-5212 | 2006-01-14 |
| 1447253638 | Brian C Beatty | Obstetrics & Gynecology | 5651 Frist Blvd, Ste 213, Hermitage, TN 37076-2056 | 2005-05-23 |
| 1164425203 | Cathy A Deppen | Obstetrics & Gynecology | 5653 Frist Blvd, Ste 738, Hermitage, TN 37076-2066 | 2005-05-23 |
| 1366069783 | Paige Baker | Obstetrics & Gynecology | 2151 Shenango Valley Fwy, Hermitage, PA 16148-2586 | 2020-07-01 |
| 1225557408 | Southern Womans Care | Obstetrics & Gynecology | 5651 Frist Blvd Ste 201, Hermitage, TN 37076-2056 | 2017-09-19 |
| Find all providers in HERMITAGE | ||||
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| 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.