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CHERYL A MALLORY MD NPI 1386677722


NPI Information

NPI: 1386677722
Provider Name: CHERYL A MALLORY, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2315 8TH ST
LEWISTON, ID
ZIP 83501
Phone: (208) 746-1383
Get Directions

Cheryl A Mallory, MD is a family medicine in Lewiston, ID with 31 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Cheryl A Mallory, MD NPI is 1386677722. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

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

The provider's business location address is:

2315 8TH ST
LEWISTON, ID
ZIP 83501-301
Phone: (208) 746-1383
Fax: (208) 746-6348

The NPI 1386677722 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Automated urinalysis test (HCPCS:81003)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)
  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • X-ray of chest, 2 views (HCPCS:71046)

The enumeration date for this NPI number is 7/9/2006 and was last updated on 8/18/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineMD000637598WASHINGTONNo
2207Q00000XFamily MedicineM-10915IDAHOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
120001487MEDICARE PINIDAHO
2307956OTHERWASHINGTONL & I MEDICAL PROVIDER NETWORK
31386677722MEDICAIDIDAHO
4177340OTHERWASHINGTONL&I
51009174MEDICAIDWASHINGTON
61386677722OTHERIDAHOREGENCE BLUESHIELD
7G25214MEDICARE UPINWASHINGTON
88800123MEDICARE PINWASHINGTON

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.