DR. EDWARD DREW MALLOY (NPI# 1609904143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609904143 |
| Entity Type | Individual |
| Full Name | DR. EDWARD DREW MALLOY |
| Credential | M.D. |
| Practice Address |
University of California Santa Cruz Student Health Ctr 1156 High Street Santa Cruz CA 95064 |
| Mailing Address |
306 Spring St Santa Cruz CA 95060-2500 |
| Practice Telephone | 8314592869 |
| Mailing Telephone | 8314273046 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G87595 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932137312 | Edward Martin Malloy II | Physical Therapist | 603 N Broad St, Suite 100, Woodbury, NJ 08096-1619 | 2006-06-28 |
| 1154392728 | Edward L Malloy | Internal Medicine | 1604 Burtner Rd, Natrona Heights, PA 15065-2845 | 2006-01-31 |
| Street Address |
UNIVERSITY OF CALIFORNIA SANTA CRUZ STUDENT HEALTH CTR 1156 HIGH STREET |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073091674 | Amy Mandell | Marriage & Family Therapist | 1156 High St, Counseling and Psychological Services, Student Health Center, East Wing, 2nd Floor, Santa Cruz, CA 95064 | 2018-08-06 |
| 1043798820 | Maryjan Murphy | Psychologist | 1156 High Street, Counseling and Psychological Services, Student Health Center, East Wing, 2nd Floor, Santa Cruz, CA 95064 | 2018-08-02 |
| 1124244215 | Melinda Carol Padgett | Physician Assistant | University of California, Santa Cruz, Student Health, 1156 High Street, Santa Cruz, CA 95064 | 2007-04-17 |
| 1073639092 | Paula Jean Holtz | Psychologist | University of California Santa Cruz Student Health, 1156 High St., Santa Cruz, CA 95064 | 2007-03-21 |
| 1710013750 | Diane Lamotte | Pharmacist | 1156 High St., Univeristy of California Santa Cr Uz Student Health, Santa Cruz, CA 95064 | 2007-02-26 |
| 1235283789 | Erica Lorena Lopez | Marriage & Family Therapist | 1156 High Street, Santa Cruz, CA 95064 | 2007-01-22 |
| 1740820323 | Deahdra D Bowier | Psychologist | Counseling & Psychological Services, 1156 High Street, Santa Cruz, CA 95064 | 2020-01-10 |
| 1104389949 | Emilie Elizabeth Cate | Psychologist | 1156 High Street, Santa Cruz, CA 95064 | 2019-04-09 |
| 1952881740 | Polina Apilado | Psychologist | 1156 High Street, Counseling and Psychological Services, Santa Cruz, CA 95064 | 2018-08-21 |
| 1053537159 | Janette Helen Kolar | Nurse Practitioner | University of California Santa Cruz Student Health, 1156 High Street, Santa Cruz, CA 95064 | 2007-04-17 |
| Find all providers in zip 95064 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003397381 | Jeannine M. Rodems, Md Inc | Family Medicine | 9000 Soquel Ave Ste 100, Santa Cruz, CA 95062-2097 | 2018-08-24 |
| 1164783049 | Kyle R Keene | Family Medicine | 1301 Mission St, Santa Cruz, CA 95060-3530 | 2012-06-06 |
| 1346400116 | Jose Luis Barrios Jr. | Family Medicine | 21507 E Cliff Dr # D, Santa Cruz, CA 95062-4844 | 2008-06-14 |
| 1093931834 | Warren Everett Klausner | Family Medicine | 129 Jewell St, Santa Cruz, CA 95060-1717 | 2007-04-18 |
| 1790869238 | Michael J Coulson | Family Medicine | 2980 El Rancho Drive, Santa Cruz, CA 95060 | 2006-10-24 |
| 1114001674 | Dawn Motyka | Family Medicine | 930 Mission St Ste 5, Santa Cruz, CA 95060-3559 | 2006-10-24 |
| 1134229206 | Stephen J Halpern | Family Medicine | 550a Water Street, Santa Cruz, CA 95060 | 2006-09-25 |
| 1205933496 | Santa Cruz Personal Physicians Inc | Family Medicine | 634 Frederick St, Santa Cruz, CA 95062 | 2006-09-20 |
| 1851493761 | Stephen J Halpern & Jack Watson Mds | Family Medicine | 550a Water St, Santa Cruz, CA 95060 | 2006-09-01 |
| 1467484154 | Maria Selhorst Greaves | Family Medicine | 2980 El Rancho Dr, Santa Cruz, CA 95060-1103 | 2006-07-06 |
| Find all providers in SANTA CRUZ | ||||
| City | SANTA CRUZ |
| Zip Code | 95064 |
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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.