LAURIE LYNN MALMSTROM MD NPI 1093732091

NPI Information

NPI: 1093732091
Provider Name: LAURIE LYNN MALMSTROM, MD
Classification: Emergency Medicine - 207PP0204X
Entity Type: Individual

Specialization: Pediatric Emergency Medicine

PECOS Registration: Yes

Address:
701 GROVE RD
GMH ER ADMINISTRATION
GREENVILLE, SC
ZIP 29605
Phone: (864) 455-6372
Get Directions

Laurie Lynn Malmstrom, MD is a pediatric emergency medicine emergency medicine in Greenville, SC with 31 years of experience. The provider is pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. Laurie Lynn Malmstrom, MD NPI is 1093732091. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduation Year:1993

The provider's business location address is:

701 GROVE RD
GMH ER ADMINISTRATION
GREENVILLE, SC
ZIP 29605-611
Phone: (864) 455-6372

The NPI 1093732091 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/16/2006 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207PP0204X	Emergency Medicine	Pediatric Emergency Medicine	21139	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	211390	MEDICAID	SOUTH CAROLINA
2	57-6007863	OTHER	SOUTH CAROLINA	BCBS
3	57-6007863	OTHER	SOUTH CAROLINA	BLUE CHOICE
4	57-6007863	OTHER	SOUTH CAROLINA	TRICARE
5	167193	OTHER	SOUTH CAROLINA	UNISON
6	930081471	OTHER	SOUTH CAROLINA	MEDICARE RAILROAD
7	20-21139	OTHER	SOUTH CAROLINA	SCCS
8	20004419	OTHER	SOUTH CAROLINA	SELECT HEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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