ALI FAROUK MALLAT (NPI# 1508087826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508087826 |
| Entity Type | Individual |
| Full Name | ALI FAROUK MALLAT |
| Credential | MD |
| Practice Address |
6000 W Creek Rd Suite 10 Independence OH 44131-2182 |
| Practice Telephone | 2169861256 |
| Mailing Telephone | 2169861256 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2017-03-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 129879 | OH | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 4301089640 | MI | Allopathic & Osteopathic Physicians |
| N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
129879 | OH | Allopathic & Osteopathic Physicians |
| N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
4301089640 | MI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 4301089640 | MI | Student, Health Care |
| Street Address |
6000 W CREEK RD SUITE 10 |
| City | INDEPENDENCE |
| State | OH |
| Zip Code | 44131-2182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396709374 | Sudhakar S Rao | Obstetrics & Gynecology | 6000 W Creek Rd, Independence, OH 44131-2139 | 2006-04-14 |
| 1245475680 | Allison Elizabeth Bruce | Counselor | 6000 W Creek Rd, Suite 20, Independence, OH 44131-2182 | 2008-12-15 |
| 1295924819 | Cleveland Clinic Concern:eap | Counselor | 6000 W Creek Rd, Suite 20, Independence, OH 44131-2139 | 2007-10-19 |
| 1710187364 | Marymount Behavioral Health Services | Counselor | 6000 W Creek Rd, Suite 20, Independence, OH 44131-2139 | 2007-07-23 |
| 1407900822 | Suzanne M Lee | Physician Assistant | 6000 W Creek Rd, Suite 10, Independence, OH 44131-2139 | 2007-01-23 |
| 1821146689 | Michael Caso | Counselor | 6000 W Creek Rd, Suite 20, Independence, OH 44131-2139 | 2007-01-08 |
| 1962502187 | Jennifer Hunte | Social Worker | 6000 W Creek Rd, Suite 20, Independence, OH 44131-2139 | 2006-09-25 |
| 1144320326 | Karen Shu-ra Raven | Counselor | 6000 W Creek Rd, Suite 20, Independence, OH 44131-2139 | 2006-09-25 |
| 1467497818 | Shalini Sood-mendiratta | Ophthalmology | 6000 W Creek Rd, Suite 10, Independence, OH 44131-2182 | 2006-06-19 |
| 1255374922 | Maureen Gwynn | Physician Assistant | 6000 W Creek Rd, Suite 10, Independence, OH 44131-2139 | 2006-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902457161 | Emilie Hadley | Case Manager/Care Coordinator | 5700 Rockside Rd, Independence, OH 44131 | 2019-09-27 |
| 1316404015 | Denise Ann Shannon | Licensed Practical Nurse | 4700 Rocksde Road, Suite 100, Independence, OH 44131 | 2019-02-28 |
| 1255898433 | Elizabeth Spence | Specialist/Technologist | 806 Tuxedo Ave, Brooklyn Hts, OH 44131 | 2019-02-25 |
| 1407356819 | Stefani Smithburger | Social Worker | 6200 Rockside Woods Blvd, Suite 305, Independence, OH 44131 | 2018-02-13 |
| 1881107092 | Christine M Hernandez | Nurse Practitioner | 2150 Oak Tree Blvd Suite 200, Independence, OH 44131 | 2017-11-09 |
| 1639698368 | Jessica Ann Phillips-donnelly | Social Worker | 5001 Rockside Road, Crown Center II, Independence, OH 44131 | 2017-09-13 |
| 1437692274 | Susan Meghan Davis | Registered Nurse | 925 Keynote Circle Suite #300, Brooklyn Hts, OH 44131 | 2016-11-28 |
| 1629431507 | Patricia Lynn Berger | Counselor | 6200 Rockside Woods Blvd. Suite 305, Independence, OH 44131 | 2016-03-30 |
| 1265810428 | Sarah Krakowiak | Speech-Language Pathologist | 3330 Wynde Tree Drive, Seven Hills, OH 44131 | 2015-05-08 |
| 1255732525 | Michelle Rioux-nivens | Nurse Practitioner | 6150 Oak Tree Boulevard, Suite 200, Independence, OH 44131 | 2014-09-05 |
| Find all providers in zip 44131 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609186204 | Outreach Professional Services, Inc. | Surgery | 4400 Rockside Road, Suite 2200, Independence, OH 44131 | 2010-10-15 |
| 1144348012 | Independence Surgical Clinic, Inc. | Surgery | 19550 East 39th Street S, Suite 325, Independence, MO 64057-2310 | 2007-03-27 |
| 1568440493 | Surgical Care of Independence, Inc | Surgery | 19101 E. Valley View Parkway, Suite B, Independence, MO 64055-6907 | 2005-12-30 |
| 1366428302 | Kelly Michael James | Surgery | 19101 E Valley View Pkwy, Suite B, Independence, MO 64055-6904 | 2005-12-21 |
| 1235122664 | Augusto Torres | Surgery | 4400 Rockside Rd, Suite 2200, Independence, OH 44131-2168 | 2005-08-31 |
| 1841531407 | Cjp Surgical LLC | Surgery | 19600 E 39th St S, Independence, MO 64057-2301 | 2013-03-07 |
| 1972820512 | Chelsea Rae Fisher | Surgery | 19101 E Valley View Pkwy, Ste B, Independence, MO 64055-6904 | 2010-04-21 |
| 1184956138 | Northeast Surgical Associates of Ohio Ltd | Surgery | 6100 Rockside Woods Blvd N, Suite 425, Independence, OH 44131-2366 | 2010-02-02 |
| 1669663571 | Mindi Suzanne Thompson Beahm | Surgery | 19550 E 39th St S, Suite 325 Centerpoint Med Bldg, Independence, MO 64057-2358 | 2007-08-06 |
| 1356483663 | Randolfo De Leon | Surgery | 1600 1st St E, Independence, IA 50644-3155 | 2007-02-13 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 44131 |
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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.