KENNETH HOWARD MALONEY (NPI# 1336104942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336104942 |
| Entity Type | Individual |
| Full Name | KENNETH HOWARD MALONEY |
| Credential | A.A. |
| Practice Address |
460 Lanier Rd Madison AL 35758-1866 |
| Mailing Address |
2006 Franklin St Se Suite 301 Huntsville AL 35801-4551 |
| Practice Telephone | 2563199000 |
| Mailing Telephone | 2565399471 |
| Mailing Fax Number | 2565399472 |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | AA827 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BCBS- TN | 4113999 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609893296 | Kenneth R. Maloney | Dermatology | 294 Summar Drive, Jackson, TN 38301 | 2006-07-17 |
| Street Address |
460 LANIER RD |
| City | MADISON |
| State | AL |
| Zip Code | 35758-1866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750370029 | Robert A Pendley | Internal Medicine | 460 Lanier Rd, Ste 203, Madison, AL 35758 | 2005-10-19 |
| 1831334366 | Kimberly A Petersen | Nurse Anesthetist, Certified Registered | 460 Lanier Rd, Madison, AL 35758-2631 | 2008-12-12 |
| 1437338134 | Crissey V Watkins | Nurse Anesthetist, Certified Registered | 460 Lanier Rd, Madison, AL 35758-2631 | 2007-10-30 |
| 1356369755 | Madison Surgery Center, LLC | Clinic/Center | 460 Lanier Rd, Madison, AL 35758-2631 | 2006-07-17 |
| 1396700688 | Sherry Kay Watson | Nurse Anesthetist, Certified Registered | 460 Lanier Rd, Madison, AL 35758-1866 | 2006-04-19 |
| 1164487369 | Mark Isaac Copeland | Anesthesiologist Assistant | 460 Lanier Rd, Madison, AL 35758-1866 | 2006-04-19 |
| 1932164555 | Michael Hamilton Fleming | Anesthesiologist Assistant | 460 Lanier Rd, Madison, AL 35758-1866 | 2006-04-18 |
| 1891750584 | Andrew Charles Crider | Anesthesiologist Assistant | 460 Lanier Rd, Madison, AL 35758-1866 | 2006-04-18 |
| 1205891736 | David C Celeski | Nurse Anesthetist, Certified Registered | 460 Lanier Rd, Madison, AL 35758-1866 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487299277 | Hanging Lanes Christian Wellness Ministries and Counseling Center | Counselor | 650 Sun Temple Drive, Madison, AL 35758 | 2019-11-15 |
| 1104487396 | Caroline Thomas Estes | Occupational Therapist | 8475 Wann Drive, Madison, AL 35758 | 2019-06-27 |
| 1265902894 | Sharinne Summers Sears | Registered Nurse | 204 Grove Village Way, Madison, AL 35758 | 2018-11-27 |
| 1013484666 | Lori Pohly | Counselor | 190 Lime Quarry Road, Suite 212, Madison, AL 35758 | 2018-10-31 |
| 1174022297 | Rhonda Marie Stalb | Marriage & Family Therapist | 650 Sun Temple Dr Ste 101, Madison, AL 35758 | 2018-02-04 |
| 1528585932 | Alabama Dental Professionals, PC | Dentist | 7666 Highway 72 W, Madison, AL 35758 | 2017-08-25 |
| 1134658537 | Diane Bierbauer | Dietitian, Registered | 520 Thoreau Spring Ct, Madison, AL 35758 | 2017-06-08 |
| 1255870408 | Maggie Collins | Nurse Practitioner | 7559 U.S. 72, Madison, AL 35758 | 2017-02-21 |
| 1649648858 | Terry A. Burgess | Dentist | 810 Palmer Plaza, # 103, Madison, AL 35758 | 2015-09-03 |
| 1063896314 | Caswall C Harrigan Physician PC | Family Medicine | Madison Medical Plaza 540 Hughes Road, Suite 14, Madison, AL 35758 | 2015-07-16 |
| Find all providers in zip 35758 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962054668 | Brandon Camel | Anesthesiologist Assistant | 619 N Segoe Rd, Madison, WI 53705-3112 | 2019-07-12 |
| 1669857660 | Cayla Joanne Dittmer | Anesthesiologist Assistant | 818 N Star Dr Apt 119, Madison, WI 53718-3011 | 2015-07-21 |
| 1891761383 | William L Campbell | Anesthesiologist Assistant | 4830 Woodburn Dr, Madison, WI 53711-1346 | 2006-02-24 |
| 1790392736 | Rachel Mcallister | Anesthesiologist Assistant | 600 Highland Ave, Madison, WI 53792-0001 | 2020-09-24 |
| 1942815063 | Riley S Bertram | Anesthesiologist Assistant | 202 South Park Street, 4 Tower, Madison, WI 53715 | 2020-09-15 |
| 1801412606 | Trevor Francis Boensch | Anesthesiologist Assistant | 202 S Park St, Madison, WI 53715-1507 | 2020-06-18 |
| 1245856954 | Kevin A. Mayes | Anesthesiologist Assistant | 600 Highland Ave, Madison, WI 53792-0001 | 2020-06-18 |
| 1346865581 | Bethany A. Meyering | Anesthesiologist Assistant | 4602 Eastpark Blvd, Madison, WI 53718-2002 | 2020-06-13 |
| 1750905931 | Allison Schroeder | Anesthesiologist Assistant | 600 Highland Ave, Madison, WI 53792-0001 | 2020-06-03 |
| 1558992453 | Addie M Berens | Anesthesiologist Assistant | 600 Highland Ave, Madison, WI 53792-0001 | 2020-01-29 |
| Find all providers in MADISON | ||||
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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.