MARK DAVID MALNOR


Address: 200 Jeffeson Se, Grand Rapids, MI 49503
Phone: 6163646700

MARK DAVID MALNOR (NPI# 1881618239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881618239
Entity Type Individual
Full Name MARK DAVID MALNOR
Credential MD
Practice Address 200 Jeffeson Se
Grand Rapids
MI 49503
Mailing Address Po Box 5329
Saginaw
MI 48603-0329
Practice Telephone 6163646700
Practice Fax Number 6163644960
Mailing Telephone 6163646700
Mailing Fax Number 9894014245
Enumeration Date 2006-07-27
Last Update Date 2019-09-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
4301048475 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI RR MEDICAID 300044873 01
MI 1662851100 05

Office Location

Street Address 200 JEFFESON SE
City GRAND RAPIDS
State MI
Zip Code 49503

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NPI Name Taxonomy Address Enumeration
1801496195 Airway Oxygen, Inc. Durable Medical Equipment & Medical Supplies Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 2020-10-27
1730707282 Adriana Molina-schmuker Counselor 901 Eastern Avenue Ne, Grand Rapids, MI 49503 2020-07-10
1477176949 Kimberly Buskirk Specialist 1131 Ionia Ava Nw, Grand Rapids, MI 49503 2020-05-19
1124647805 Jared Host Speech-Language Pathologist Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 2020-04-13
1265061378 Heather Gladfelter Student in an Organized Health Care Education/Training Program 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 2020-04-02
1194368647 Amy Jo Arends Nurse Practitioner 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 2019-10-28
1376185199 Beth Arce Occupational Therapist 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 2019-10-14
1295387256 Althea Ziolkowski Licensed Practical Nurse Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 2019-07-10
1790340719 Heather Anne Fox Occupational Therapist Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 2019-05-06
1184182883 April L Kaiserlian Social Worker 983 Spaulding Ave Ne, Ada, MI 49503 2019-03-12
Find all providers in zip 49503

Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376838698 G Jay Rottman Radiology 847 Parchment Se, Dmi Clinic, Grand Rapids, MI 49546 2011-06-15
1144533381 Ryan Richard Konwinski Radiology 100 Michigan St Ne # Mc-046, Diagnostic Radiology Residency, Grand Rapids, MI 49503-2560 2010-07-16
1578753489 Jason P Dykstra Radiology Advanced Radiology Services P.C., 3264 N Evergreen Dr, Grand Rapids, MI 49525-9746 2007-07-26
1417158619 Robert Oostveen Radiology 3264 N Evergreen Dr, Advanced Radiology Services P.C., Grand Rapids, MI 49525-9746 2007-05-29
1780801688 James Michael Hecksel Radiology 3264n Evergreen Nedr, Grand Rapids, MI 49525-9746 2007-04-20
1396745576 Paul Norman Olson Radiology 111 Golf Course Rd, Grand Rapids, MN 55744-3526 2005-07-28
1720081649 Jay A Harolds Radiology 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 2005-05-24
1306463872 Patrick James Gidley Radiology 200 Jefferson Se, Jefferson Bldg Suite 305, Grand Rapids, MI 49503 2020-07-01
1619593530 Albert Dongzhou Jiao Radiology 200 Jefferson Ave Se, Jefferson Suite 360, Grand Rapids, MI 49503 2020-06-17
1417517608 Andrew Kilgore Radiology 200 Jefferson Ave Se Bldg Ste 305, Grand Rapids, MI 49503-4502 2019-06-19
Find all providers in GRAND RAPIDS

Competitor

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City GRAND RAPIDS
Zip Code 49503

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Dataset Information

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.

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