Ryan Mallo (NPI# 1992094403, PAC ID# 1850541772) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1992094403 |
| PAC ID by PECOS | 1850541772 |
| Professional Enrollment ID | I20121030000180 |
| Full Name | Ryan Mallo |
| Organization Legal Name | MUNSON HEALTHCARE CADILLAC |
| Address |
302 Hobart St Cadillac MI 49601-2379 |
| Phone Number | 2318762644 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6305161514 |
| Number of Group Practice Members | 45 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 231323 | SPECTRUM HEALTH REED CITY HOSPITAL |
| 230081 | MUNSON HEALTHCARE CADILLAC HOSPITAL |
| 230093 | SPECTRUM HEALTH BIG RAPIDS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 302 Hobart St, Cadillac, MI 49601-2379 | 2318762644 | MUNSON HEALTHCARE CADILLAC |
| Organization Legal Name | MUNSON HEALTHCARE CADILLAC |
| Physicians | 40 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyle Do Franckowiak | Obstetrics/gynecology | Munson Healthcare Cadillac | 7985 Mackinaw Trl, Cadillac, MI 49601-8111 |
| Melvin M Vallette | Nurse Practitioner | Munson Healthcare Cadillac | 302 Hobart St, Cadillac, MI 49601-2379 |
| Paul Bizzigotti | Orthopedic Surgery | Munson Healthcare Cadillac | 8872 Professional Dr, Suite B, Cadillac, MI 49601-8482 |
| William M Long | Obstetrics/gynecology | Munson Healthcare Cadillac | 7800 Us 131 S C, Women's Health Specialist, Cadillac, MI 49601-7080 |
| Grant Dennis Crago | Anesthesiology | Munson Healthcare Cadillac | 400 Hobart St, Cadillac, MI 49601-2331 |
| Kent Calvin Bowden | General Surgery | Munson Healthcare Cadillac | 927 S Carmel St, Munson Healthcare Cadillac Surgical Services, Cadillac, MI 49601-2547 |
| William H George | Internal Medicine | Munson Healthcare Cadillac | 400 Hobart St, Cadillac, MI 49601-2331 |
| Lori Ann Booms | Nurse Practitioner | Munson Healthcare Cadillac | 7985 Mackinaw Trl, Cadillac, MI 49601-8111 |
| Jessica L Hubl | Certified Registered Nurse Anesthetist (crna) | Munson Healthcare Cadillac | 400 Hobart St, Cadillac, MI 49601-2331 |
| Timothy Johnson | Anesthesiology | Munson Healthcare Cadillac | 400 Hobart St, Cadillac, MI 49601-2331 |
| Street Address |
302 HOBART ST |
| City | CADILLAC |
| State | MI |
| Zip | 49601-2379 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melvin M Vallette | Nurse Practitioner | Munson Healthcare Cadillac | 302 Hobart St, Cadillac, MI 49601-2379 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Satya Das | Physical Therapy | 1101 N Mitchell St, Cadillac, MI 49601-1200 | |
| Brian D Sims | Chiropractic | 1190 Plett Rd, Suite B, Cadillac, MI 49601-1296 | |
| Theresa Anne Evans | Clinical Social Worker | 201 N Mitchell St, Suite 204, Cadillac, MI 49601-1859 | |
| Karen M Chitwood | Clinical Social Worker | 121 N Mitchell St, Cadillac, MI 49601-1879 | |
| Jacob L Brown | Chiropractic | 119 N Shelby St, Active Chiro Cadil, Cadillac, MI 49601-1928 | |
| Helen Marie Kiomento | Family Medicine | Family Practice of Cadillac PC | 827 E Division St, Cadillac, MI 49601-2015 |
| Sergei V Shumaster | Family Medicine | Family Practice of Cadillac PC | 827 E Division St, Cadillac, MI 49601-2015 |
| Brandon Charles Peltier | Family Medicine | Family Practice of Cadillac PC | 827 E Division St, Cadillac, MI 49601-2015 |
| Alicia Tenney Elmore | Family Medicine | Family Practice of Cadillac PC | 827 E Division St, Cadillac, MI 49601-2015 |
| Kevin E Anderson | Family Medicine | Family Practice of Cadillac PC | 827 E Division St, Cadillac, MI 49601-2015 |
| Find all physicians in zip 49601 | |||
| City | CADILLAC |
| Zip Code | 49601 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CADILLAC + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Ryan Mallo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.