Jacob G Malooly (NPI# 1932526910, PAC ID# 9335365956) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1932526910 |
| PAC ID by PECOS | 9335365956 |
| Professional Enrollment ID | I20140716002514 |
| Full Name | Jacob G Malooly |
| Organization Legal Name | ASPIRUS RIVERVIEW HOSPITAL AND CLINICS INC |
| Address |
410 Dewey St Wisconsin Rapids WI 54494-4715 |
| Phone Number | 7154236060 |
| Gender | M |
| Medical School | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4587658182 |
| Number of Group Practice Members | 84 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520033 | RIVERVIEW HOSPITAL ASSOCIATION |
| Address | Phone | Organization |
|---|---|---|
| 2031 Peach St, Wisconsin Rapids, WI 54494-5181 | 7154230122 | ASPIRUS RIVERVIEW HOSPITAL AND CLINICS INC |
| 410 Dewey St, Wisconsin Rapids, WI 54494-4715 | 7154236060 | ASPIRUS RIVERVIEW HOSPITAL AND CLINICS INC |
| Organization Legal Name | ASPIRUS RIVERVIEW HOSPITAL AND CLINICS INC |
| Physicians | 68 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Krista A Hafenbredl | Nurse Practitioner | Aspirus Riverview Hospital and Clinics Inc | 420 Dewey St, Wisconsin Rapids, WI 54494-4714 |
| Lindsay R Maves | Physician Assistant | Aspirus Riverview Hospital and Clinics Inc | 1015 Angelus Dr, Nekoosa, WI 54457-1617 |
| Jill R Bohn | Nurse Practitioner | Aspirus Riverview Hospital and Clinics Inc | 410 Dewey St, Wisconsin Rapids, WI 54494-4715 |
| Michele M Klasinski | Neurology | Aspirus Riverview Hospital and Clinics Inc | 1160 Rome Ctr Dr, Nekoosa, WI 54457-8705 |
| David A Calderwood | Emergency Medicine | Aspirus Riverview Hospital and Clinics Inc | 2031 Peach St, Wisconsin Rapids, WI 54494-5181 |
| Mary K Schwanebeck | Nurse Practitioner | Aspirus Riverview Hospital and Clinics Inc | 410 Dewey St, Wisconsin Rapids, WI 54494-4715 |
| Joel M Carlson | Gastroenterology | Aspirus Riverview Hospital and Clinics Inc | 2031 Peach St, Wisconsin Rapids, WI 54494-5181 |
| Shee-chang Tang | Family Medicine | Aspirus Riverview Hospital and Clinics Inc | 2031 Peach St, Wisconsin Rapids, WI 54494-5181 |
| Caitlin C Parmeter | Physician Assistant | Aspirus Riverview Hospital and Clinics Inc | 410 Dewey St, Wisconsin Rapids, WI 54494-4715 |
| Robert J Roenius | Family Medicine | Aspirus Riverview Hospital and Clinics Inc | 2031 Peach St, Wisconsin Rapids, WI 54494-5181 |
| Street Address |
410 DEWEY ST |
| City | WISCONSIN RAPIDS |
| State | WI |
| Zip | 54494-4715 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jill R Bohn | Nurse Practitioner | Aspirus Riverview Hospital and Clinics Inc | 410 Dewey St, Wisconsin Rapids, WI 54494-4715 |
| Mary K Schwanebeck | Nurse Practitioner | Aspirus Riverview Hospital and Clinics Inc | 410 Dewey St, Wisconsin Rapids, WI 54494-4715 |
| Caitlin C Parmeter | Physician Assistant | Aspirus Riverview Hospital and Clinics Inc | 410 Dewey St, Wisconsin Rapids, WI 54494-4715 |
| Katie M Omernik | Nurse Practitioner | Aspirus Riverview Hospital and Clinics Inc | 410 Dewey St, Wisconsin Rapids, WI 54494-4715 |
| Ryan A Beine | Physician Assistant | Aspirus Riverview Hospital and Clinics Inc | 410 Dewey St, Wisconsin Rapids, WI 54494-4715 |
| Sandhya Gupta | Hospitalist | Aspirus Riverview Hospital and Clinics Inc | 410 Dewey St, Wisconsin Rapids, WI 54494-4715 |
| Margaret Clare Kelly | Nurse Practitioner | Aspirus Riverview Hospital and Clinics Inc | 410 Dewey St, Wisconsin Rapids, WI 54494-4715 |
| James M Rewey | Physician Assistant | Aspirus Riverview Hospital and Clinics Inc | 410 Dewey St, Wisconsin Rapids, WI 54494-4715 |
| Ranran Zhang | Pathology | Park and Assoc S C | 410 Dewey St, Wisconsin Rapids, WI 54494-4715 |
| James M Cygan | Pulmonary Disease | Aspirus Riverview Hospital and Clinics Inc | 410 Dewey St, Wisconsin Rapids, WI 54494-4715 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin J Ferreira | Internal Medicine | 2010 Bridle Path, Wisconsin Rapids, WI 54494-0703 | |
| Wayne R Christie | Orthopedic Surgery | Marshfield Clinic Inc | 220 24th S St, Wisconsin Rapids, WI 54494-1908 |
| David J Simenstad | Orthopedic Surgery | Marshfield Clinic Inc | 220 24th St S, Wisconsin Rapids, WI 54494-1908 |
| Thomas F Hitchcock | Hand Surgery | Marshfield Clinic Inc | 220 24th St S, Wisconsin Rapids, WI 54494-1908 |
| John G Nemcek | Internal Medicine | Marshfield Clinic Inc | 220 24th St S, Wisconsin Rapids, WI 54494-1908 |
| Katherine E Reimer | Internal Medicine | Marshfield Clinic Inc | 220 24th St S, Wisconsin Rapids, WI 54494-1908 |
| Michael T Trainor | Physician Assistant | Marshfield Clinic Inc | 220 24th St S, Wisconsin Rapids, WI 54494-1908 |
| Deborah C Grall | Qualified Audiologist | Marshfield Clinic Inc | 220 24th St S, Wisconsin Rapids, WI 54494-1908 |
| Gregor M Wenig | Physical Therapy | Marshfield Clinic Inc | 220 24th St S, Wisconsin Rapids, WI 54494-1908 |
| Jill M Dillon | Optometry | Marshfield Clinic Inc | 220 24th St S, Wisconsin Rapids, WI 54494-1908 |
| Find all physicians in zip 54494 | |||
| City | WISCONSIN RAPIDS |
| Zip Code | 54494 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | WISCONSIN RAPIDS + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jacob G Malooly.
| 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.