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MALLORY BROOKE O'NIEL NPI 1528357506


NPI Information

NPI: 1528357506
Provider Name: MALLORY BROOKE O'NIEL
Classification: Otolaryngology - 207YP0228X
Entity Type: Individual

Specialization: Pediatric Otolaryngology

Organization: VHS PHYSICIANS OF MICHIGAN

PECOS Registration: Yes

Address:
3901 BEAUBIEN ST STE 2102
DETROIT, MI
ZIP 48201
Phone: (313) 745-9048
Get Directions

Mallory Brooke O'niel is a pediatric otolaryngology otolaryngology in Detroit, MI with 13 years of experience. The provider is a pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing. Mallory Brooke O'niel NPI is 1528357506. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MEDICAL COLLEGE OF WISCONSIN
Graduation Year:2011

The provider's business location address is:

3901 BEAUBIEN ST STE 2102
DETROIT, MI
ZIP 48201-119
Phone: (313) 745-9048
Fax: (313) 993-3879

The NPI 1528357506 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 3/30/2011 and was last updated on 3/17/2018.


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
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2207YP0228XOtolaryngologyPediatric Otolaryngology4301112964MICHIGANYes

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: 11/14/2023

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.