JOHN A MALLEK (NPI# 1982650248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982650248 |
| Entity Type | Individual |
| Full Name | JOHN A MALLEK |
| Credential | MD |
| Practice Address |
1210 W 18th St Sioux Falls SD 57104-4647 |
| Practice Telephone | 6053283485 |
| Practice Fax Number | 6053283484 |
| Mailing Telephone | 6053283485 |
| Mailing Fax Number | 6053283484 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2007-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 3520 | SD | Allopathic & Osteopathic Physicians |
| Street Address |
1210 W 18TH ST |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57104-4647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043216955 | John Elmer Forrette Jr. | Podiatrist | 1210 W 18th St, Sioux Falls, SD 57104-4647 | 2005-06-24 |
| 1437701570 | April E Labat | Nurse Practitioner | 1210 W 18th St, Sioux Falls, SD 57104-4647 | 2019-07-09 |
| 1245731728 | Jonathan Sorensen | Nurse Practitioner | 1210 W 18th St, Sioux Falls, SD 57104-4647 | 2018-02-21 |
| 1639610116 | Krystal Niesen | Physician Assistant | 1210 W 18th St, Suite G01, Sioux Falls, SD 57104-4647 | 2017-03-16 |
| 1811433709 | Marie Hansen | Physician Assistant | 1210 W 18th St, Suite G01, Sioux Falls, SD 57104-4647 | 2017-01-16 |
| 1952843054 | Megan Marie Weston | Nurse Practitioner | 1210 W 18th St, Suite 100, Sioux Falls, SD 57104-4647 | 2016-11-07 |
| 1497203780 | Stacy Eden | Nurse Practitioner | 1210 W 18th St, Sioux Falls, SD 57104-4647 | 2016-09-14 |
| 1689021537 | Christopher De Berg | Nurse Practitioner | 1210 W 18th St, Suite G01, Sioux Falls, SD 57104-4651 | 2016-05-20 |
| 1902285463 | Caleb Richard Blauwet | Physician Assistant | 1210 W 18th St, Suite G01, Sioux Falls, SD 57104-4647 | 2015-05-29 |
| 1144613803 | Joanne Gunderson | Nurse Practitioner | 1210 W 18th St, Ste 100, Sioux Falls, SD 57104-9890 | 2015-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518594134 | Melissa Bader | Nurse Practitioner | 1112 S. Lake Ave, Suite 201, Sioux Falls, SD 57104 | 2020-03-24 |
| 1457995714 | Sanford Clinic | Clinic/Center | 1112 S Lake Ave, Ste 201, Sioux Falls, SD 57104 | 2019-10-30 |
| 1427555002 | Sanford Clinic | Family Medicine | 136 S Phillips Ave Ste 102, Sioux Falls, SD 57104 | 2018-04-10 |
| 1033637210 | Anna Peasley | Speech-Language Pathologist | 710 W 18th St, Sioux Falls, SD 57104 | 2017-09-07 |
| 1699204313 | Sioux Falls Primary Home Care Services LLC | In Home Supportive Care | 201 N Minnesota Ave Ste 101l, Sioux Falls, SD 57104 | 2017-06-06 |
| 1093258808 | Megan Regina Wexler | Social Worker | 4510 N Lewis Ave, Sioux Falls, SD 57104 | 2016-11-28 |
| 1831645498 | Ryan Ortiz | Specialist/Technologist | 1908 1/2 Old Town Rd Nw, Albuquerque, NM 57104 | 2016-09-01 |
| 1881140622 | Kristine Carol Smith | Occupational Therapist | 601 N. Spring Ave, Hawthorne Elementary, Sioux Falls, SD 57104 | 2016-08-31 |
| 1215299292 | Jolene Mitchell | Preventive Medicine | 900 E 54th St N Ste 100, Sioux Falls, SD 57104 | 2012-06-14 |
| 1871874651 | Christine Marie Burg | Pharmacist | 2503 East 54th Street N., Medvantx Pharmacy Services, Sioux Falls, SD 57104 | 2011-09-07 |
| Find all providers in zip 57104 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518373422 | Michael Rene Ferrell | Internal Medicine | 6301 S. Vintage Pl., Sioux Falls, SD 57108 | 2014-07-11 |
| 1982042255 | Shah Medical Clinic Prof LLC | Internal Medicine | 6709 S Minnesota Ave Ste 200, Sioux Falls, SD 57108-2593 | 2013-06-10 |
| 1639482094 | Dilpriya Kaur Mangat | Internal Medicine | 1400 W 22nd Street, Sioux Falls, SD 57105 | 2010-07-14 |
| 1649434804 | Joevasanth Mariasingam Devasahayam | Internal Medicine | 1301 S Cliff Ave Ste 601, Sioux Falls, SD 57105-1032 | 2008-07-16 |
| 1588836548 | Christopher Joseph Sumey | Internal Medicine | 1309 W 17th St Ste, Suite 101, Sioux Falls, SD 57104-8805 | 2008-03-31 |
| 1083894067 | Avera Mckennan | Internal Medicine | 300 N Dakota Ave., Ste. 117, Sioux Falls, SD 57104-6020 | 2007-11-07 |
| 1639381502 | William Osmund Rossing | Internal Medicine | 2600 West 49th St, Sioux Falls, SD 57105 | 2007-05-04 |
| 1073635462 | Amit Gupta | Internal Medicine | 1100 E. 21st St., Ste. 601, Sioux Falls, SD 57105-1000 | 2007-04-04 |
| 1851468532 | Avera Mckennan | Internal Medicine | 2100 S. Marion Rd., Sioux Falls, SD 57106-3646 | 2006-11-29 |
| 1295837656 | Phillip Edward Little | Internal Medicine | 2501 W. 22nd, Sioux Falls, SD 57117 | 2006-09-05 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57104 |
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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.