Edward Walter Malin (NPI# 1871751180, PAC ID# 6608034129) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1871751180 |
| PAC ID by PECOS | 6608034129 |
| Professional Enrollment ID | I20181210000901 |
| Full Name | Edward Walter Malin |
| Organization Legal Name | JORDAN PHYSICIAN ASSOCIATES INC. |
| Address |
275 Sandwich St Plymouth MA 02360-2183 |
| Phone Number | 5087462000 |
| Gender | M |
| Graduation Year | 2003 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Secondary Specialties | GENERAL SURGERY |
| Group Practice PAC ID | 1254321086 |
| Number of Group Practice Members | 143 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220052 | SIGNATURE HEALTHCARE BROCKTON HOSPITAL |
| 220060 | BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH |
| Address | Phone | Organization |
|---|---|---|
| 680 Centre St, Brockton, MA 02302-3308 | 5089417000 | SIGNATURE HEALTHCARE MEDICAL GROUP INC |
| 275 Sandwich St, Plymouth, MA 02360-2183 | 5087462000 | JORDAN PHYSICIAN ASSOCIATES INC. |
| Organization Legal Name | JORDAN PHYSICIAN ASSOCIATES INC. |
| Physicians | 161 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica M Olson | Certified Nurse Midwife (cnm) | Jordan Physician Associates Inc. | 46 Obery St, Plymouth, MA 02360-2237 |
| Kadhiresan Raja Murugappan | Anesthesiology | Jordan Physician Associates Inc. | 275 Sandwich St, Plymouth, MA 02360-2183 |
| Maysaa El Zoghbi | Gastroenterology | Jordan Physician Associates Inc. | 47 Obery St, Suite 201, Plymouth, MA 02360-2229 |
| Shane C Peters | Nurse Practitioner | Jordan Physician Associates Inc. | 83 Route 130, Forestdale, MA 02644-1427 |
| Aubrey Okpaku | Neurosurgery | Jordan Physician Associates Inc. | 10 Cordage Park Cir, Suite 227, Plymouth, MA 02360-7318 |
| Irina L Gurevich | Hematology/oncology | Jordan Physician Associates Inc. | 275 Sandwich St, Plymouth, MA 02360-2183 |
| William B Gorsuch | Physician Assistant | Jordan Physician Associates Inc. | 275 Sandwich St, Plymouth, MA 02360-2183 |
| Agnes Densmore | Certified Nurse Midwife (cnm) | Jordan Physician Associates Inc. | 275 Sandwich St, Plymouth, MA 02360-2183 |
| Kimberly M Johnson | Physician Assistant | Jordan Physician Associates Inc. | 275 Sandwich St, Plymouth, MA 02360-2183 |
| Melanie Loberman | Anesthesiology | Jordan Physician Associates Inc. | 275 Sandwich St, Plymouth, MA 02360-2183 |
| Street Address |
275 SANDWICH ST |
| City | PLYMOUTH |
| State | MA |
| Zip | 02360-2183 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kadhiresan Raja Murugappan | Anesthesiology | Jordan Physician Associates Inc. | 275 Sandwich St, Plymouth, MA 02360-2183 |
| Mark J Longsjo | Clinical Social Worker | Beth Israel Deaconess Hospital Plymouth Inc | 275 Sandwich St, Plymouth, MA 02360-2183 |
| Irina L Gurevich | Hematology/oncology | Jordan Physician Associates Inc. | 275 Sandwich St, Plymouth, MA 02360-2183 |
| William B Gorsuch | Physician Assistant | Jordan Physician Associates Inc. | 275 Sandwich St, Plymouth, MA 02360-2183 |
| Agnes Densmore | Certified Nurse Midwife (cnm) | Jordan Physician Associates Inc. | 275 Sandwich St, Plymouth, MA 02360-2183 |
| Kimberly M Johnson | Physician Assistant | Jordan Physician Associates Inc. | 275 Sandwich St, Plymouth, MA 02360-2183 |
| Xiao Wang | Emergency Medicine | Associated Physicians of Harvard Medical Faculty Physicians At Beth Is | 275 Sandwich St, Plymouth, MA 02360-2183 |
| Melanie Loberman | Anesthesiology | Jordan Physician Associates Inc. | 275 Sandwich St, Plymouth, MA 02360-2183 |
| Robert E Gaudet Jr. | Hematology/oncology | Jordan Physician Associates Inc. | 275 Sandwich St, Plymouth, MA 02360-2183 |
| Martin B Abrams | Hematology/oncology | Jordan Physician Associates Inc. | 275 Sandwich St, Plymouth, MA 02360-2183 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Ryan | Psychologist, Clinical | Integrated Counseling Centers, Inc. | 64 Industrial Pk Rd, Plymouth, MA 02360 |
| Timothy J Ryan | Clinical Social Worker | Integrated Counseling Centers, Inc. | 64 Industrial Pk Rd, Plymouth, MA 02360 |
| Janet E Petrella | Clinical Social Worker | 8 E Circuit Ave, Plymouth, MA 02360-1151 | |
| Debra J Gunning | Nurse Practitioner | Minuteclinic Diagnostic of Massachusetts, LLC | 8 Pilgrim Way, Plymouth, MA 02360-1342 |
| Laurel H Martens | Nurse Practitioner | Minuteclinic Diagnostic of Massachusetts, LLC | 8 Pilgrim Way, Plymouth, MA 02360-1342 |
| Lorenz B Cueni | Cardiovascular Disease (cardiology) | 275 Sandwich St (beth Srael Deaconess, Plymouth, MA 02360-2183 | |
| Jennifer K Winings | Physician Assistant | Jordan Physician Associates Inc. | 275 Sandwich St, Plymouth, MA 02360-2183 |
| Jay M Daly | Diagnostic Radiology | Jordan Physician Associates Inc. | 275 Sandwich St, Plymouth, MA 02360-2183 |
| Gale V Jackson | Nurse Practitioner | Jordan Physician Associates Inc. | 275 Sandwich St, Plymouth, MA 02360-2183 |
| Caitlin J Marchenko | Nurse Practitioner | Jordan Physician Associates Inc. | 275 Sandwich St, Plymouth, MA 02360-2183 |
| Find all physicians in zip 02360 | |||
| City | PLYMOUTH |
| Zip Code | 02360 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | PLYMOUTH + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on Edward Walter Malin.
| 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.