BENJAMIN MALLICOAT


Address: 128 E Apple St Ste 2800, Dayton, OH 45409-2902
Phone: 9372082007

BENJAMIN MALLICOAT (NPI# 1932729662) 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) 1932729662
Entity Type Individual
Full Name BENJAMIN MALLICOAT
Credential MD
Practice Address 128 E Apple St Ste 2800
Dayton
OH 45409-2902
Practice Telephone 9372082007
Enumeration Date 2020-04-22
Last Update Date 2020-04-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 128 E APPLE ST STE 2800
City DAYTON
State OH
Zip Code 45409-2902

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487276457 Matthew R Schaeffer Surgery 128 E Apple St., Wche 7th Floor, Dayton, OH 45409 2020-05-13
1699237545 Elizabeth Joan Hudson Student in an Organized Health Care Education/Training Program 1 Wyoming Street Miami Valley Hospital Medical Educatio, Dayton, OH 45409 2019-04-01
1760941066 Courtney Lyn Johnson Surgery 128 East Apple Street, Wche 7th Floor, Dayton, OH 45409 2019-03-16
1477057529 Adam Joseph Langer Student in an Organized Health Care Education/Training Program 128 E. Apple St Suite 3800, Wright State University Dept of Ob/gyn, Dayton, OH 45409 2018-03-22
1659870939 Timothy Wall Student in an Organized Health Care Education/Training Program 128 East Apple St., 2nd Floor, Dayton, OH 45409 2018-02-01
1124551411 Adam Schmerge Deardorff Student in an Organized Health Care Education/Training Program 30 E Apple St Ste 6257, Dayton, OH 45409 2017-04-04
1205205358 Kelby Snorf Physician Assistant 30 E Apple Street, Suite 3300, Dayton, OH 45409 2015-09-18
1689054223 Jessica Ezinne Ugwu Family Medicine 30 E Apple St., Suite Nw 3300, Dayton, OH 45409 2015-06-08
1679983084 Jude Anneryan Cohen Registered Nurse 1200 W. Dorothy Lane, Southdale Elementary School, Kettering, OH 45409 2014-05-07
1730517087 Jesse Wayne Clark Counselor 65 Grady Ct, Dayton, OH 45409 2013-10-24
Find all providers in zip 45409

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205434925 Madeline Mae Juergens Student in an Organized Health Care Education/Training Program 3600 Colonel Glenn Hwy 117 Health Sciences Bldg, Dayton, OH 45435-0001 2020-10-14
1306465877 Chase Smith Student in an Organized Health Care Education/Training Program 4100 W 3rd St Bldg 330, Dayton, OH 45428-9000 2020-04-14
1255960233 Landon Rosevear Student in an Organized Health Care Education/Training Program 128 E Apple St Fl 7, Dayton, OH 45409-2902 2020-04-02
1598392391 Brett Douglas Foster Student in an Organized Health Care Education/Training Program 12 Garret St, Dayton, OH 45410-1226 2020-03-24
1538706940 Anthony Kelemen Student in an Organized Health Care Education/Training Program Sopp At Wright State University, 117 Health Sci Bldg, 3640 Colonel Glenn Hwy, Dayton, OH 45435 2019-12-04
1275184764 Rachel Wininger Student in an Organized Health Care Education/Training Program 117 Health Sciences Building 3640 Colonel Glenn Highway, Dayton, OH 45435-0001 2019-09-25
1801444955 Ashley Elizabeth Murphy Student in an Organized Health Care Education/Training Program Wsu School of Professional Psychology, 3640 Colonel Glenn Hwy, 117 Health Sciences Bldg, Dayton, OH 45435 2019-09-02
1245888304 Melissa Irene Schmerr Student in an Organized Health Care Education/Training Program School of Professional Psychology Wright State Universi, 117 Health Science Bldg. 3640 Colonel Glenn Hwy., Dayton, OH 45435-0001 2019-08-30
1427510510 Michael S Hatesohl Student in an Organized Health Care Education/Training Program 627 South Edwin C. Moses Blvd., East Medical Plaza, 1st Floor, Dayton, OH 45417 2019-04-05
1699237545 Elizabeth Joan Hudson Student in an Organized Health Care Education/Training Program 1 Wyoming Street Miami Valley Hospital Medical Educatio, Dayton, OH 45409 2019-04-01
Find all providers in DAYTON

Competitor

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City DAYTON
Zip Code 45409

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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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