DR. JAMES T MALOUF (NPI# 1790788503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790788503 |
| Entity Type | Individual |
| Full Name | DR. JAMES T MALOUF |
| Credential | M.D. |
| Practice Address |
274 N Main St Logan UT 84321-3915 |
| Mailing Address |
2380 N 400 E N Logan UT 84341-1749 |
| Practice Telephone | 4357531600 |
| Practice Fax Number | 4357539521 |
| Mailing Telephone | 4357924100 |
| Mailing Fax Number | 4357524662 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2008-01-18 |
| NPI Deactivation Date | 03/17/2006 |
| NPI Reactivation Date | 2006-03-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 1654981205 | UT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437288859 | James Malouf | Dentist | 2413 S Azusa Ave, West Covina, CA 91792-1536 | 2007-03-02 |
| Street Address |
274 N MAIN ST |
| City | LOGAN |
| State | UT |
| Zip Code | 84321-3915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184067373 | Joshua Tyler Christiansen | Anesthesiology | 274 N Main St, Logan, UT 84321-3915 | 2013-04-08 |
| 1376894022 | Dynamic Communication | Speech-Language Pathologist | 274 N Main St, Logan, UT 84321-3915 | 2012-09-20 |
| 1649407172 | Michael J Austin | Anesthesiology | 274 N Main St, Logan, UT 84321-3915 | 2009-06-10 |
| 1730379322 | Darren V Anderson | Anesthesiology | 274 N Main St, Logan, UT 84321-3915 | 2007-07-30 |
| 1235232646 | Edwin Marlowe Goble | Orthopaedic Surgery | 274 N Main St, Logan, UT 84321-3915 | 2006-09-07 |
| 1841214483 | Interwest Anesthesia Associates LLC | Anesthesiology | 274 N Main St, Logan, UT 84321-3915 | 2006-07-27 |
| 1336162924 | Wesley S Mortensen | Anesthesiology | 274 N Main St, Logan, UT 84321-3915 | 2006-07-25 |
| 1104852599 | Vikas Garg | Anesthesiology | 274 N Main St, Logan, UT 84321-3915 | 2006-06-25 |
| 1134174543 | Mitchell R Udy | Audiologist | 274 N Main St, Logan, UT 84321-3915 | 2006-05-23 |
| 1033169198 | Peter C Daines | Anesthesiology | 274 N Main St, Logan, UT 84321-3915 | 2006-05-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265074157 | Grant E Severe | Pharmacist | 175 E 442 N, Logan, UT 84321 | 2019-10-11 |
| 1437712585 | Gregory Scott Hansen | Pharmacist | 412 East 200 North, Logan, UT 84321 | 2019-04-15 |
| 1043701584 | Mckell Peidl | Behavior Technician | 240 E 400 N Apt 8, Logan, UT 84321 | 2018-05-21 |
| 1801331194 | Eric Dutson | Speech-Language Pathologist | 964 W 2880 S, Nibley, UT 84321 | 2016-12-22 |
| 1063805299 | Krystal Cox | Marriage & Family Therapist | 493 North 700 East, Logan, UT 84321 | 2015-03-12 |
| 1013340801 | Carly D. L. Lebaron | Marriage & Family Therapist | 95 W. 100 S., Suite 360, Logan, UT 84321 | 2013-08-15 |
| 1669710471 | Brandon Bailey | Counselor | 1465 N. 300 W., Ste. A, Brigham, UT 84321 | 2013-01-29 |
| 1871843086 | Brandi Lee Richins | Social Worker | 90 E. 200 N., Logan, UT 84321 | 2012-09-14 |
| 1922356732 | Stacy Lynn Hamilton Jones | Marriage & Family Therapist | 60 East Center Street, Suite 205, Keystone Family Solutions, Logan, UT 84321 | 2012-08-28 |
| 1992002455 | Robert Thomas Allred | Chiropractor | 944 South Highway 89/91, Logan, UT 84321 | 2011-02-18 |
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| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467607820 | Joseph H Nelson | Orthopaedic Surgery | 1432 E 1200 N, Logan, UT 84341-2811 | 2008-11-25 |
| 1265639280 | Brian A. Vernon | Orthopaedic Surgery | 630 E 1400 N Ste 118, Logan, UT 84341 | 2007-07-02 |
| 1437623261 | Vernon Medical Pllc | Orthopaedic Surgery | 630 E 1400 N Ste 118, Logan, UT 84341-2691 | 2019-01-15 |
| 1528149515 | Matthew Joel Kauffman | Orthopaedic Surgery | 819 State Route 664 N Ste B, Logan, OH 43138-8540 | 2006-10-18 |
| 1235232646 | Edwin Marlowe Goble | Orthopaedic Surgery | 274 N Main St, Logan, UT 84321-3915 | 2006-09-07 |
| 1417967902 | David P Murray | Orthopaedic Surgery | 1300 N 500 E, #130, Logan, UT 84341-2408 | 2006-08-08 |
| 1194735670 | Bryan C King | Orthopaedic Surgery | 1300 N 500 E, #130, Logan, UT 84341-2408 | 2006-08-08 |
| 1588673800 | Thomas O Higginbotham | Orthopaedic Surgery | 1300 N 500 E, #130, Logan, UT 84341-2408 | 2006-08-05 |
| 1750348389 | Ramanathan Padmanaban Md Inc | Orthopaedic Surgery | 20 Hospital Dr, Medical Office Bldg Ste 220, Logan, WV 25601 | 2006-04-27 |
| 1669437042 | Desingu S. Raja | Orthopaedic Surgery | 20 Hospital Dr, Logan, WV 25601-3452 | 2006-04-19 |
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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.