MICHAEL OMALLEY MD NPI 1629113287

NPI Information

  • NPI: 1629113287
  • Provider Name: MICHAEL OMALLEY MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Address: 436 CENTRAL AVE W
    JAMESTOWN, TN
    ZIP 38556
  • Phone: (423) 903-6796

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NPI Details

MICHAEL OMALLEY MD is a diagnostic radiology radiology in Jamestown, TN. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MICHAEL OMALLEY MD NPI is 1629113287. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

436 CENTRAL AVE W
JAMESTOWN, TN
ZIP 38556-031
Phone: (423) 903-6796

The provider's authorized official is Michael Omalley .
The authorized official title is President and has the following contact phone number (931) 484-0048.

The enumeration date for this NPI number is 2/21/2007 and was last updated on 4/28/2008.

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
12085R0202XRadiologyDiagnostic RadiologyYes

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
13724307MEDICARE ID-TYPE UNSPECIFIEDGROUP MEDICARE #

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: 11/21/2025

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