DR. JOHN KENNETH MALLEN (NPI# 1427037951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427037951 |
Entity Type | Individual |
Full Name | DR. JOHN KENNETH MALLEN |
Credential | MD |
Practice Address |
32 Stiles Rd Ste 204 Salem NH 03079 |
Practice Telephone | 6038949898 |
Practice Fax Number | 6038946270 |
Mailing Telephone | 6038949898 |
Mailing Fax Number | 6038946270 |
Enumeration Date | 2006-01-12 |
Last Update Date | 2012-09-04 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208200000X | Plastic Surgery | 154434 | MA | Allopathic & Osteopathic Physicians |
Y | 208200000X | Plastic Surgery | 10052 | NH | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FALLON | 29841 | 01 | |
NH | BC | 0103459Y0NH01 | 01 |
TUFTS | 154434 | 01 | |
HARVARD | 21296 | 01 | |
CIGNA | 07571390 | 01 | |
MA | BC | JIF258 | 01 |
Street Address |
32 STILES RD STE 204 |
City | SALEM |
State | NH |
Zip Code | 03079 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083606412 | John B Bassett | Dentist | 32 Stiles Rd, Suite 210, Salem, NH 03079-2892 | 2005-08-22 |
1619353281 | Salem Smile Dental Center | Dentist | 32 Stiles Rd, Suite 207, Salem, NH 03079-2892 | 2015-08-06 |
1255528261 | Frederick M Bourgeois, Dmd, Pllc | Dentist | 32 Stiles Rd, Suite 205, Salem, NH 03079-2892 | 2007-10-03 |
1497974257 | John B. Bassett, Dmd, PC | Dentist | 32 Stiles Rd, Suite 210, Salem, NH 03079-2892 | 2007-04-24 |
1437284346 | Manuel Joseph Sousa | Dentist | 32 Stiles Rd, Sutie 211, Salem, NH 03079-2892 | 2007-02-22 |
1255466165 | Danielle Christina Ross | Dentist | 32 Stiles Rd, Suite 211, Salem, NH 03079-2892 | 2007-02-22 |
1720113640 | Salem Centre for Orthodontics, Inc. | Dentist | 32 Stiles Rd, Suite 211, Salem, NH 03079-2892 | 2007-02-22 |
1184765067 | Paul Francis Masterson | Dentist | 32 Stiles Rd, Suite 205, Salem, NH 03079-2892 | 2007-02-12 |
1437290731 | Paul F Masterson Dds Pa | Dentist | 32 Stiles Rd, Suite 205, Salem, NH 03079-2892 | 2007-02-09 |
1730250895 | Stephen S Hsu | Dentist | 32 Stiles Rd, Suite 207, Salem, NH 03079-2892 | 2006-11-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689156945 | Susan Lou Harris | Social Worker | 56 Zion Hill Rd, Salem, NH 03079 | 2018-09-04 |
1861970972 | Norrine Mcnelley | Nurse Practitioner | 25 Beechwood Rd, Salem, NH 03079 | 2018-07-31 |
1275024135 | Rhode Island Optometrics, LLC | Optometrist | 42 Samoset Dr, Salem, NH 03079 | 2018-05-25 |
1003338666 | Rachel Blazich | Specialist/Technologist | 25 General Pulaski Drive, Salem, NH 03079 | 2017-07-14 |
1902327935 | Brenda Michelle Karibian | Nurse Practitioner | 9 Gardner Ave, Salem, NH 03079 | 2017-06-29 |
1730559154 | Jessica Meredith Cooper | Naturopath | 23 Stiles Rd Ste 210, Salem, NH 03079 | 2015-09-28 |
1659754257 | Shuja U Saleem, M.d. | Obstetrics & Gynecology | 23 Stiles Rd., #217, Salem, NH 03079 | 2015-07-01 |
1457739724 | Marisa O'brien | Registered Nurse | 2 Keewayin Drive, Salem, NH 03079 | 2015-05-07 |
1215360805 | Jeffrey Malone | Counselor | 103 Cluff Crossing, P-3, Salem, NH 03079 | 2013-08-19 |
1184964546 | Larissa Grace Pickett | Specialist | 195 North Broadway, Salem Sports and Rehab, Salem, NH 03079 | 2013-02-21 |
Find all providers in zip 03079 |
Taxonomy Code | 208200000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Plastic Surgery |
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609958057 | Lewis-gale Physicians, LLC | Plastic Surgery | 2880 Keagy Rd., Salem, VA 24153 | 2006-10-19 |
1861429417 | Dann Leonard | Plastic Surgery | 500 Liberty St Se, Ste 400, Salem, OR 97301-3890 | 2006-06-27 |
1255302154 | Carol Wray | Plastic Surgery | 2880 Keagy Rd, Salem, VA 24153-7458 | 2006-01-30 |
1881219350 | Yonker Plastic Surgery, LLC | Plastic Surgery | 875 Oak St Se Ste 4060, Salem, OR 97301-3990 | 2020-06-10 |
1902142094 | William Nisbet M.d.,p.c. | Plastic Surgery | 960 Liberty St Se Ste 100, Salem, OR 97302-4165 | 2012-12-18 |
1891976650 | The Centers for Plastic Surgery | Plastic Surgery | 2880 Keagy Rd, Salem, VA 24153-7458 | 2007-11-21 |
1083802847 | The Center for Plastic Surgery At Ridgewood Hill LLC | Plastic Surgery | 2880 Keagy Rd, Salem, VA 24153-7458 | 2007-10-05 |
1205035052 | Bruce Carter, Md PC | Plastic Surgery | 875 Oak St Se, Suite 4060, Salem, OR 97301-3975 | 2007-07-12 |
1568669273 | Keith C Neaman | Plastic Surgery | 1430 Commercial St Se, Salem, OR 97302-4308 | 2007-06-27 |
1104022680 | Tonja I Weed | Plastic Surgery | 1970 Roanoke Blvd, Salem Vamc (112), Salem, VA 24153-6404 | 2007-06-22 |
Find all providers in SALEM |
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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.