MARC DAVID MALKOFF (NPI# 1477660306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477660306 |
| Entity Type | Individual |
| Full Name | MARC DAVID MALKOFF |
| Credential | M.D. |
| Practice Address |
855 Monroe Ave Suite 415 Link Building Memphis TN 38103-4901 |
| Mailing Address |
Po Box 1000 Dept # 457 Memphis TN 38148-0001 |
| Practice Telephone | 9014482625 |
| Practice Fax Number | 9014487440 |
| Mailing Telephone | 9014486198 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2015-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
51347 | TN | Allopathic & Osteopathic Physicians |
| N | 2084V0102X |
Psychiatry & Neurology Specialization: Vascular Neurology |
51347 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 122553001 | 05 | |
| TN | Q005342 | 05 | |
| MS | 00601253 | 05 | |
| TN | BCBS | 6024333 | 01 |
| TN | RAILROAD MEDICARE | P01484270 | 01 |
| Street Address |
855 MONROE AVE SUITE 415 LINK BUILDING |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38103-4901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578882007 | Rohini Bhole | Psychiatry & Neurology | 855 Monroe Ave, Suite 415, Memphis, TN 38103-4901 | 2010-05-24 |
| 1861526915 | Andrei V Alexandrov | Specialist | 855 Monroe Ave, Memphis, TN 38103-4901 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619505724 | Michelle Lynn Esposito | Dietitian, Registered | 1st Floor Research Center - 50 North Dunlap St, Memphis, TN 38103 | 2020-04-01 |
| 1962030221 | Allison Burge Clayton | Dietitian, Registered | 50 N Dunlap, Nutrition Therapy Dept, 1st Floor Research Tower, Memphis, TN 38103 | 2020-03-31 |
| 1093375420 | Radar Ems, LLC | Social Worker | 50 S. B.b. King Blvd, Suite 350, Memphis, TN 38103 | 2019-06-18 |
| 1528529021 | Denise Andrews Matthews | Nursing Care | 342 Island Dr #105, Memphis, TN 38103 | 2019-03-27 |
| 1881160059 | Christopher Paul Hernandez | Nurse Practitioner | 877 Jeffeon Ave, Memphis, TN 38103 | 2018-10-15 |
| 1194245712 | Cameron Waters Clinard | Optometrist | 127 Isle Creek Dr, Memphis, TN 38103 | 2017-06-24 |
| 1750732582 | Amanda Leigh Eaves | Nurse Practitioner | 364 S Front St Ste 201, Memphis, TN 38103 | 2016-06-22 |
| 1417304569 | John Clark Shell | Family Medicine | 150 Harbor Creek Dr, Memphis, TN 38103 | 2016-05-18 |
| 1750753695 | Tomisha V. Byard | Nurse Practitioner | 718 Habor Bend Road, Memphis, TN 38103 | 2015-10-29 |
| 1053795179 | Melissa Anne Wilkes | Social Worker | 1240 Harbor River Drive, Memphis, TN 38103 | 2015-07-18 |
| Find all providers in zip 38103 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861873846 | Rashi Krishnan | Psychiatry & Neurology | 1265 Union Avenue Dept of Neurology, Memphis, TN 38104 | 2015-06-15 |
| 1164841326 | Beth Anne Cavanaugh | Psychiatry & Neurology | 848 Adams Ave Ste 400l, Memphis, TN 38103-2816 | 2014-04-15 |
| 1417108796 | London Corporaton | Psychiatry & Neurology | 23 South Pauline Street, Suite 709, Memphis, TN 38104-3121 | 2008-10-06 |
| 1740459817 | Adrain B. Blotner Md PC | Psychiatry & Neurology | 6401 Poplar Ave Ste 316, Memphis, TN 38119-4806 | 2008-02-22 |
| 1003005885 | James H Jaster | Psychiatry & Neurology | 23 South Pauline Street, Suite 709, Memphis, TN 38104-3121 | 2007-10-17 |
| 1164634978 | Monisha Dutta | Psychiatry & Neurology | 880 Madison Avenue, Memphis, TN 38103-3409 | 2007-05-04 |
| 1891911954 | Rada Petrinjac-nenadic | Psychiatry & Neurology | 5100 Sanderlin Ave, Suite 2100, Memphis, TN 38117-4387 | 2007-04-17 |
| 1306994611 | Charles Hughes Hubbert | Psychiatry & Neurology | Memphis Va Hospital, Dept. Neurology, 1030 Jefferson Avenue, Memphis, TN 38104 | 2007-01-05 |
| 1881775799 | Butler Neurology PC | Psychiatry & Neurology | 1264 Wesley Drive, Suite 209, Memphis, TN 38116 | 2006-10-18 |
| 1407813439 | Mark S Ledoux | Psychiatry & Neurology | 5050 Poplar Ave Ste 511, Memphis, TN 38157-0500 | 2006-04-26 |
| Find all providers in MEMPHIS | ||||
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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.