DR. GARY CRAIG MALLIS (NPI# 1811998230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811998230 |
Entity Type | Individual |
Full Name | DR. GARY CRAIG MALLIS |
Credential | M.D. |
Practice Address |
20201 N Scottsdale Healthcare Dr Suite 270 Scottsdale AZ 85255-4134 |
Practice Telephone | 4805855355 |
Practice Fax Number | 4805855358 |
Mailing Telephone | 4805855355 |
Mailing Fax Number | 4805855358 |
Enumeration Date | 2005-08-09 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | 22226 | AZ | Allopathic & Osteopathic Physicians |
Street Address |
20201 N SCOTTSDALE HEALTHCARE DR SUITE 270 |
City | SCOTTSDALE |
State | AZ |
Zip Code | 85255-4134 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578094397 | Clear Dermatology & Aesthetics Center | Nursing Care | 20201 N Scottsdale Healthcare Dr, Suite 260, Scottsdale, AZ 85255-4134 | 2017-03-23 |
1487013074 | Leigha Williams | Nurse Practitioner | 20201 N Scottsdale Healthcare Dr, Suite 280, Scottsdale, AZ 85255-4134 | 2016-02-11 |
1215307368 | Wesley Garth Wilson | Plastic Surgery | 20201 N Scottsdale Healthcare Dr, Suite120, Scottsdale, AZ 85255-4134 | 2015-10-01 |
1003171109 | Nirav Patel | Dermatology | 20201 N Scottsdale Healthcare Dr, Ste 260, Scottsdale, AZ 85255-4140 | 2012-07-05 |
1083978753 | Katherine Marie Duncan | Physician Assistant | 20201 N Scottsdale Healthcare Dr, Suite 260, Scottsdale, AZ 85255 | 2012-06-27 |
1215293782 | Kelly Cathryn Pearson | Dermatology | 20201 N Scottsdale Healthcare Dr, Ste 260, Scottsdale, AZ 85255-4140 | 2012-04-09 |
1780902320 | Star Pupil | Technician/Technologist | 20201 N Scottsdale Healthcare Dr, #150, Scottsdale, AZ 85255-4134 | 2010-05-06 |
1871723866 | Az Ortho Pa Pllc | Physician Assistant | 20201 N Scottsdale Healthcare Dr, Suite 280, Scottsdale, AZ 85255-4134 | 2009-07-23 |
1063642304 | Arizona Orthopaedic Foot & Ankle Center, LLC | Orthopaedic Surgery | 20201 N Scottsdale Healthcare Dr, Ste 280, Scottsdale, AZ 85255-4134 | 2009-07-21 |
1396912911 | Samuel Steven Bailey | Otolaryngology | 20201 N Scottsdale Healthcare Dr, Ste 230, Scottsdale, AZ 85255-4134 | 2008-05-13 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417427865 | Inpatient Health LLC | Internal Medicine | 17470 Pacesetter Way, Scottsdale, AZ 85255 | 2018-11-28 |
1003391764 | Daniel Andrew Wool | Family Medicine | 20801 N Scottsdale Rd Suite 205, Scottsdale, AZ 85255 | 2018-09-28 |
1225533953 | Nona Lynel Dasenbrock | Dietitian, Registered | 10912 E Butherus Dr, Scottsdale, AZ 85255 | 2018-03-26 |
1376044248 | Brandon A Hunter | Physician Assistant | 17300 N Perimeter Dr, Ste 150, Scottsdale, AZ 85255 | 2018-02-26 |
1235644048 | Harmony Dental Partners, LLC | Dentist | 21809 N. Scottsdale Rd., Suite C105, Scottsdale, AZ 85255 | 2017-12-04 |
1093226698 | Brenda Renee Junior | Family Medicine | 7920 E Thompson Peak Pkwy Ste 100, Scottsdale, AZ 85255 | 2017-10-23 |
1740790393 | Sanus Dme LLC | Durable Medical Equipment & Medical Supplies | 17300 N Perimeter Dr, Ste 150, Scottsdale, AZ 85255 | 2017-10-10 |
1235651894 | Jill Walker | Physical Therapist | 7900 E. Princess, Apt. 1063, Scottsdale, AZ 85255 | 2017-07-14 |
1780123000 | Mcdowell Smile Life Dentistry LLC | Dentist | 10401 E. Mcdowell Mountain Ranch Rd Ste 130, Scottsdale, AZ 85255 | 2017-02-20 |
1942691779 | Gregory Edin | Dentist | 11550 E Paradise Lane, Scottsdale, AZ 85255 | 2015-02-16 |
Find all providers in zip 85255 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306487350 | Roots Pediatric Therapy, LLC | Pediatrics | 7340 E Legacy Blvd Unit C2006, Scottsdale, AZ 85255-6388 | 2019-10-01 |
1164985305 | Desert Sky Pediatrics | Pediatrics | 3301 N Miller Rd Ste 170, Scottsdale, AZ 85251-6421 | 2019-04-12 |
1770093221 | Brittany Wilson | Pediatrics | 8573 E San Alberto Dr Ste E100, Scottsdale, AZ 85258-4612 | 2017-10-10 |
1154854537 | Alexandra Kauffman | Pediatrics | 5425 E Bell Rd Ste 145, Scottsdale, AZ 85254-6010 | 2017-04-04 |
1174919997 | Kelsey Elizabeth Chemelewski | Pediatrics | 8573 E San Alberto Ste E100, Scottsdale, AZ 85258-4612 | 2015-04-08 |
1144526450 | Kamla Kumar | Pediatrics | 12148 N. 134th Way, Scottsdale, AZ 85259 | 2011-02-03 |
1760708168 | Colin George Petranu | Pediatrics | 9827 N 95th St Ste 105, Scottsdale, AZ 85258-4591 | 2010-04-12 |
1093047011 | Philip Albert Bond | Pediatrics | 11825 E Desert Trail Rd, Scottsdale, AZ 85259-2726 | 2010-02-01 |
1053556241 | Michelle Ellen Buenafe | Pediatrics | 5046 E Corrine Dr, Scottsdale, AZ 85254-4143 | 2008-12-03 |
1861665671 | David Allen Scheer | Pediatrics | 5461 E Cortez Dr, Scottsdale, AZ 85254-4733 | 2008-04-12 |
Find all providers in SCOTTSDALE |
City | SCOTTSDALE |
Zip Code | 85255 |
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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.