JOHN WILLIAM MALO (NPI# 1275582348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275582348 |
| Entity Type | Individual |
| Full Name | JOHN WILLIAM MALO |
| Credential | MD |
| Practice Address |
2828 Chicago Ave Ste 400 Minneapolis MN 55407-1544 |
| Practice Telephone | 6128635390 |
| Practice Fax Number | 6128632697 |
| Mailing Telephone | 6128635390 |
| Mailing Fax Number | 6128632697 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2009-07-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
23884 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MEDICA | 7425178 | 01 |
| MN | PREFERRED ONE | 0255502 | 01 |
| MN | HEALTH PARTNERS | HP13904 | 01 |
| MN | BLUE CROSS | 64G46MA | 01 |
| MN | AMERICAS PPO | 768243 | 01 |
| Street Address |
2828 CHICAGO AVE STE 400 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55407-1544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417951443 | David P Dorn | Psychiatry & Neurology | 2828 Chicago Ave, Ste 200, Minneapolis, MN 55407-1544 | 2005-06-08 |
| 1093232167 | Quest Diagnostics LLC Il | Clinical Medical Laboratory | 2828 Chicago Ave, Minneapolis, MN 55407-1544 | 2017-08-29 |
| 1477002632 | Rasmita Shrestha | Psychiatry & Neurology | 2828 Chicago Ave, Suite 200, Minneapolis, MN 55407-1544 | 2016-09-29 |
| 1326413071 | Marcie Singh | Nurse Anesthetist, Certified Registered | 2828 Chicago Ave, Suite 300, Minneapolis, MN 55407-1544 | 2015-12-07 |
| 1295108710 | Denise A Post | Nurse Practitioner | 2828 Chicago Ave, Suite 200, Minneapolis, MN 55407-1544 | 2015-11-05 |
| 1902215064 | Jessica Jayne Archbold | Registered Nurse | 2828 Chicago Ave, Minneapolis, MN 55407-1573 | 2014-08-03 |
| 1730432956 | Amy Patton Misterek | Nurse Practitioner | 2828 Chicago Ave, Suite 400, Minneapolis, MN 55407-1544 | 2012-10-25 |
| 1407101165 | Amee Natvar Chandrabalan | Psychiatry & Neurology | 2828 Chicago Ave, Suite 200, Minneapolis, MN 55407-1320 | 2012-07-18 |
| 1992060891 | Rano Faltas | Anesthesiology | 2828 Chicago Ave, Ste 300, Minneapolis, MN 55407-1544 | 2012-07-07 |
| 1184980823 | Stephanie Marie Brakel | Physician Assistant | 2828 Chicago Ave, Suite 200, Minneapolis, MN 55407-1544 | 2012-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720644057 | Amana Home Care | Home Health | 2833 13th Ave S Suite 118, Minneapolis, MN 55407 | 2019-05-13 |
| 1356802979 | Aaron Randy Pickrel | Student in an Organized Health Care Education/Training Program | 2800 Chicago Avenue, #250, Minneapolis, MN 55407 | 2019-03-27 |
| 1053881631 | Naimo Abdisalam | Registered Nurse | 1229 East Lake Street, Minneapolis, MN 55407 | 2018-11-27 |
| 1437639614 | Kelly Usitalo | Nurse Practitioner | 913 E 26th Street, Piper Building Suite 401, Minneapolis, MN 55407 | 2018-08-17 |
| 1952880346 | Allison Hall | Internal Medicine | Minneapolis Heart Institute, 920 E 28 St. #300, Minneapolis, MN 55407 | 2018-08-07 |
| 1780176370 | Rebekah Sand | Physical Therapist | 2800 Chicage Avenue S, Suite 102, Minneapolis, MN 55407 | 2018-05-31 |
| 1417448663 | Vivian T.c. Liu | Student in an Organized Health Care Education/Training Program | 2020 E 28th Street, Suite 104, Minneapolis, MN 55407 | 2018-05-23 |
| 1053802397 | Isuroon | Counselor | 1600 East Lake Street Suite 1, Minneapolis, Mpls, MN 55407 | 2018-05-22 |
| 1154811404 | Mohamed Mukhtar Ali | Dentist | 4700 Cedar Ave S, Minneapolis, MN 55407 | 2018-05-12 |
| 1396254280 | Erin Elizabeth Casper | Registered Nurse | 3621 Oakland Ave, Minneapolis, MN 55407 | 2017-09-25 |
| Find all providers in zip 55407 | ||||
| Taxonomy Code | 207VE0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Reproductive Endocrinology |
| An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
| 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 |
|---|---|---|---|---|
| 1386653699 | Colleen Louise Casey | Obstetrics & Gynecology | 2828 Chicago Ave. So., Suite 400, Minneapolis, MN 55407-1320 | 2006-08-05 |
| 1669428470 | Charity Lee Angle | Obstetrics & Gynecology | 2800 Chicago Av S, Suite 300, Minneapolis, MN 55407-1320 | 2006-05-25 |
| 1457300527 | Pamela Rae Herder | Obstetrics & Gynecology | 2800 Chicago Ave S, Suite 300, Minneapolis, MN 55407-1320 | 2006-05-08 |
| 1275542573 | Advanced Reproductive Technologies Pa | Obstetrics & Gynecology | 2828 Chicago Ave, Suite 400, Minneapolis, MN 55407-1544 | 2006-08-05 |
| 1730113630 | Center for Reproductive Medicine Pa | Obstetrics & Gynecology | 2828 Chicago Ave, Suite 400, Minneapolis, MN 55407-1544 | 2006-07-10 |
| 1881641835 | Julie Ann Morrison | Obstetrics & Gynecology | 2828 Chicago Ave, Suite 400, Minneapolis, MN 55407-1544 | 2006-05-27 |
| 1134178205 | Paul Howard Kuneck | Obstetrics & Gynecology | 2828 Chicago Ave, Suite 400, Minneapolis, MN 55407-1544 | 2006-05-08 |
| 1548219611 | Lisa Erickson | Obstetrics & Gynecology | 2828 Chicago Ave, Suite 400, Minneapolis, MN 55407-1544 | 2006-05-08 |
| 1659338846 | Bruce F Campbell | Obstetrics & Gynecology | 2828 Chicago Ave, Ste 400, Minneapolis, MN 55407-1544 | 2006-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780983528 | Wael Salem | Obstetrics & Gynecology | 6565 France Ave S Ste 400a, Edina, MN 55435 | 2011-03-18 |
| 1457307191 | Karen L Collins | Obstetrics & Gynecology | 9825 Hospital Drive, Suite 300, Maple Grove, MN 55369 | 2006-05-25 |
| 1578958229 | Colleen Miller | Obstetrics & Gynecology | 200 1st St Sw, Rochester, MN 55905-0001 | 2015-03-31 |
| 1679816607 | Tana Kim | Obstetrics & Gynecology | 200 1st St Sw, Rochester, MN 55905-0001 | 2013-03-27 |
| 1194043984 | Chandra C Shenoy | Obstetrics & Gynecology | 200 1st St Sw, Rochester, MN 55905-0002 | 2010-05-04 |
| 1841523248 | Mcrh Alpha Medical, P.a. | Obstetrics & Gynecology | 12000 Elm Creek Blvd N, Suite 350, Maple Grove, MN 55369-7073 | 2009-09-16 |
| 1396976437 | Great Planes Reproductive Center, P.a. | Obstetrics & Gynecology | 12000 Elm Creek Blvd N, Suite 350, Maple Grove, MN 55369-7073 | 2009-08-06 |
| 1649401688 | The Midwest C Enter for Reproductive Heatlh, P.a. | Obstetrics & Gynecology | 12000 Elm Creek Blvd N, Suite 350, Maple Grove, MN 55369-7073 | 2009-08-06 |
| 1649314584 | Randle Scott Corfman | Obstetrics & Gynecology | 12000 Elm Creek Blvd N, Suite 350, Maple Grove, MN 55369-7073 | 2007-02-16 |
| 1447397849 | Donald A Pavelka | Obstetrics & Gynecology | 500 Osborne Rd Ne, Suite 260, Fridley, MN 55432-2765 | 2007-02-01 |
| Find all providers with the same taxonomy | ||||
| City | MINNEAPOLIS |
| Zip Code | 55407 |
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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.