DR. ANDREW SEAN MALLON (NPI# 1255569570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255569570 |
| Entity Type | Individual |
| Full Name | DR. ANDREW SEAN MALLON |
| Credential | D.O. |
| Practice Address |
1330 S Fort Harrison Ave Clearwater FL 33756-3313 |
| Mailing Address |
2515 Countryside Blvd Suite E Clearwater FL 33763-1603 |
| Practice Telephone | 7272160700 |
| Practice Fax Number | 7272160704 |
| Mailing Telephone | 7272160700 |
| Mailing Fax Number | 7272160704 |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2015-09-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | OS12619 | FL | Allopathic & Osteopathic Physicians |
| N | 207Y00000X | Otolaryngology | OT013216 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 010925000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285043430 | Andrew Mallon | Specialist | 273 Front St, Atco, NJ 08004-1958 | 2014-08-12 |
| Street Address |
1330 S FORT HARRISON AVE |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33756-3313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952451866 | Mitchell B Miller | Otolaryngology | 1330 S Fort Harrison Ave, Clearwater, FL 33756-3313 | 2007-01-11 |
| 1740663699 | Nada Hanna | Audiologist | 1330 S Fort Harrison Ave, Clearwater, FL 33756-3313 | 2015-07-09 |
| 1194166256 | Amanda Jayne Cooley | Audiologist | 1330 S Fort Harrison Ave, Clearwater, FL 33756-3313 | 2013-07-17 |
| 1700140639 | Mariah Barker Pate | Otolaryngology | 1330 S Fort Harrison Ave, Clearwater, FL 33756-3313 | 2012-06-26 |
| 1508128588 | Shannon Booth | Audiologist | 1330 S Fort Harrison Ave, Clearwater, FL 33756-3313 | 2012-06-14 |
| 1457610537 | West Coast Ear, Nose & Throat Inc | Otolaryngology | 1330 S Fort Harrison Ave, Clearwater, FL 33756-3313 | 2012-05-10 |
| 1659658789 | Stephanie Davis-foster | Audiologist | 1330 S Fort Harrison Ave, Clearwater, FL 33756-3313 | 2011-11-03 |
| 1396061362 | Scott Michael Greene | Otolaryngology | 1330 S Fort Harrison Ave, Clearwater, FL 33756-3313 | 2010-04-14 |
| 1043453350 | Matthew Clavenna | Otolaryngology | 1330 S Fort Harrison Ave, Clearwater, FL 33756-3313 | 2009-04-16 |
| 1316112550 | Joilyn Davis Bush | Audiologist | 1330 S Fort Harrison Ave, Clearwater, FL 33756-3313 | 2008-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998060 | Guidewell Emergency Medicine Doctors, LLC | Clinic/Center | 1603 Missouri Ave, Clearwater, FL 33756 | 2020-07-01 |
| 1578104527 | M.k. El-yousef, M.d. LLC | Psychiatry & Neurology | 1555 S. Ft Harrison Ave, Clearwater, FL 33756 | 2019-10-01 |
| 1124672670 | Kayla Marie Flook | Counselor | 1106 Druid Rd S Suite 201, Clearwater, FL 33756 | 2019-08-01 |
| 1285192989 | Amy Elizabeth Dickson | Social Worker | 1260 S Mlk Jr Ave Ste D, Clearwater, FL 33756 | 2019-03-12 |
| 1548789951 | J. Carson Woolwine O.d. Pllc. | Optometrist | 912 S. Missouri Ave., Clearwater, FL 33756 | 2017-09-18 |
| 1760912349 | Kelly Morrissey | Counselor | 1240 South Fort Harrison Ave., Clearwater, FL 33756 | 2017-06-15 |
| 1972033744 | Edward Lewis Smith | Audiologist-Hearing Aid Fitter | 820 S Fort Harrison, Clearwater, FL 33756 | 2017-06-14 |
| 1700310422 | Dedicated Senior Medical Center Clearwater, LLC. | Non-Pharmacy Dispensing Site | 855 S Highland Avenue, Dedicated Senior Medical Center St. Clearwater, LLC., Clearwater, FL 33756 | 2017-04-19 |
| 1306268339 | Theresa Anne Ritz | Counselor | 1260 S Martin Luther King Jr Ave Ste D, Clearwater, FL 33756 | 2014-01-10 |
| 1649513276 | Kerry Eileen Reller | Family Medicine | 708 Druid Rd. E, Clearwater, FL 33756 | 2013-04-02 |
| Find all providers in zip 33756 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952451866 | Mitchell B Miller | Otolaryngology | 1330 S Fort Harrison Ave, Clearwater, FL 33756-3313 | 2007-01-11 |
| 1659456259 | Antonio P Monson | Otolaryngology | 3081 Roosevelt Blvd Ste 300, Clearwater, FL 33760-3422 | 2006-10-25 |
| 1255350864 | Jonathan M Morgan | Otolaryngology | 1330 S. Ft. Harrison Ave, Clearwater, FL 33756 | 2006-07-18 |
| 1346229440 | West Coast Ear, Nose & Throat, Inc. | Otolaryngology | 1330 South Fort Harrison, Clearwater, FL 33756 | 2006-01-17 |
| 1558603613 | Alexander K Malone | Otolaryngology | 3131 N Mcmullen Booth Rd, Clearwater, FL 33761-2008 | 2013-03-26 |
| 1700140639 | Mariah Barker Pate | Otolaryngology | 1330 S Fort Harrison Ave, Clearwater, FL 33756-3313 | 2012-06-26 |
| 1396061362 | Scott Michael Greene | Otolaryngology | 1330 S Fort Harrison Ave, Clearwater, FL 33756-3313 | 2010-04-14 |
| 1043453350 | Matthew Clavenna | Otolaryngology | 1330 S Fort Harrison Ave, Clearwater, FL 33756-3313 | 2009-04-16 |
| 1891994836 | Margolin Md Pa | Otolaryngology | 501 S Lincoln Ave, Suite 26, Clearwater, FL 33756-5945 | 2007-07-11 |
| 1427276849 | Faisal Merchant | Otolaryngology | 1330 S Fort Harrison Ave, Clearwater, FL 33756-3313 | 2007-04-23 |
| Find all providers in CLEARWATER | ||||
| City | CLEARWATER |
| Zip Code | 33756 |
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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.