DR. JARED RICK MALAN (NPI# 1316387665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316387665 |
| Entity Type | Individual |
| Full Name | DR. JARED RICK MALAN |
| Credential | DPM |
| Practice Address |
420 Loretto Rd Suite 500 Lebanon KY 40033-1628 |
| Practice Telephone | 2706925272 |
| Practice Fax Number | 2706925285 |
| Mailing Telephone | 2706925272 |
| Mailing Fax Number | 2706925285 |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2016-08-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
SC006481 | PA | Podiatric Medicine & Surgery Service Providers |
| Street Address |
420 LORETTO RD SUITE 500 |
| City | LEBANON |
| State | KY |
| Zip Code | 40033-1628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568479426 | Daniel Earl Bailey Jr. | Specialist | 420 Loretto Rd, Suite 600, Lebanon, KY 40033 | 2006-08-02 |
| 1033459854 | Spring View Physician Practice, LLC | Urology | 420 Loretto Rd, Suite 600, Lebanon, KY 40033-1628 | 2013-02-15 |
| 1760779466 | Spring View Physician Practices, LLC | Orthopaedic Surgery | 420 Loretto Rd, Suite 600, Lebanon, KY 40033-1628 | 2011-07-01 |
| 1477851467 | Spring View Physician Practices, LLC | Clinic/Center | 420 Loretto Rd, Suite 200, Lebanon, KY 40033-1628 | 2011-03-01 |
| 1730374554 | Daniel Bailey M.d. | Orthopaedic Surgery | 420 Loretto Rd, Ste 600, Lebanon, KY 40033-1628 | 2007-09-14 |
| 1942306105 | Paul Defranco | Pediatrics | 420 Loretto Rd, Ste 200, Lebanon, KY 40033-1628 | 2006-09-15 |
| 1003929217 | Samuel B Kriegler | Urology | 420 Loretto Rd, Lebanon, KY 40033-1628 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538636311 | One Cross Health Clinic, Inc. | Clinic/Center | 305 Koehler Drive, Lebanon, KY 40033 | 2018-10-30 |
| 1467848952 | Kelly Renee Deatley | Family Medicine | 325 W Walnut St Ste 600, Lebanon, KY 40033 | 2015-04-10 |
| 1003204892 | Mmhh, LLC | Clinic/Center | 135 E. Martin Luther King Ave., Lebanon, KY 40033 | 2014-12-31 |
| 1194964510 | Gregory W. Schall, Do, Pllc | Family Medicine | 312 W High Street, Lebanon, KY 40033 | 2009-02-09 |
| 1780859553 | Wal-mart Stores East, Lp | Eyewear Supplier (Equipment, not the service) | 2136 Campbellsville Road, Lebanon, KY 40033 | 2008-04-23 |
| 1144491234 | William Duley IIi | Dentist | 219 West Main St, Lebanon, KY 40033 | 2008-03-17 |
| 1891965927 | Dana Michelle Logsdon | Nurse Practitioner | 727 W. Main St., Lebanon, KY 40033 | 2008-03-05 |
| 1669523684 | The Childrens Clinic, Pllc. | Pediatrics | 420 Loretta Road, Lebanon, KY 40033 | 2007-01-16 |
| 1215022348 | Marion County Anesthesia Associates Pllc | Nurse Anesthetist, Certified Registered | 320 Loretto Road, Lebanon, KY 40033 | 2006-10-04 |
| 1912952458 | Quinton Meek | Psychiatry & Neurology | 65 Old Sprinfield Rd., Lebanon, KY 40033 | 2006-05-23 |
| Find all providers in zip 40033 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205155850 | Christopher Scott Benac | Podiatrist | 1424 W Baddour Pkwy Ste E, Lebanon, TN 37087-2685 | 2010-05-21 |
| 1669436085 | Christopher Andrew Seda | Podiatrist | 840 Helen Drive, Suite 1, Lebanon, PA 17042-5300 | 2006-04-13 |
| 1326686015 | Arash Jalil | Podiatrist | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2019-12-13 |
| 1144864117 | Godfrey Ofori | Podiatrist | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2019-11-03 |
| 1467992834 | Lebanon Valley Foot and Ankle Center | Podiatrist | 840 Helen Dr, Suite 1, Lebanon, PA 17042-7456 | 2017-03-03 |
| 1861759342 | Ian M Yarger | Podiatrist | 912 Russell Dr, Lebanon, PA 17042-7485 | 2012-04-20 |
| 1447550322 | Dyane Elizabeth Tower | Podiatrist | 1 Medical Center Dr, Dhmc - Orthopedics, Podiatric Medicine, Lebanon, NH 03756-1000 | 2010-10-26 |
| 1285964353 | Jessica Marie Shaw | Podiatrist | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2010-01-12 |
| 1851555312 | Tyler Grout | Podiatrist | 120 Hospital Dr, Ste 100, Lebanon, MO 65536-9238 | 2008-07-14 |
| 1316125032 | Howard J Tzorfas Dpm | Podiatrist | 1386 Route 22 West, Lebanon, NJ 08833 | 2008-02-05 |
| Find all providers in LEBANON | ||||
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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.