JARED MALLALIEU, PA
NPI 1053542985
Surgery in Severna Park, MD

Active since July 27, 2009
484 RITCHIE HWY, SUITE A, SEVERNA PARK, MD 21146(410) 544-4600(410) 544-0997 Get Directions Write a Review

NPPES record last updated: August 17, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jared Mallalieu, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JARED MALLALIEU, PA (NPI 1053542985) is a healthcare organization registered as a surgery in Severna Park, Maryland and active in the NPI registry since July 2009. The organization lists Jared Emerson Mallalieu, Owner/director, as its authorized official.

NPPES Registry Identity

NPI1053542985
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameJARED MALLALIEU, PA
Location Address484 RITCHIE HWY, SUITE ASeverna Park, MD 21146-2961
Mailing Address10845 Philadelphia RdWhite Marsh, MD 21162-1717 · (410) 335-0008 · Fax (410) 335-3113
Fax(410) 544-0997
Organization SubpartNo
Authorized OfficialJared Emerson MallalieuOwner/director · (410) 544-4600
Enumeration DateJuly 27, 2009
Last NPPES UpdateAugust 17, 2015
NPI 1053542985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in MD · H68311
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
484 RITCHIE HWY, Severna Park, MD 21146

Other Identifiers 4

OtherD92MJEMD · Carefirst
Other242301MD · Jhhc
Other174406MD · Medicare
OtherU993DC · Carefirst

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
484 RITCHIE HWY, SUITE B
SEVERNA PARK, MD 21146

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jared Mallalieu, PA's NPI number?

The NPI number for Jared Mallalieu, PA is 1053542985. It was assigned to this organization in the NPPES registry on July 27, 2009.

Where is Jared Mallalieu, PA located?

Jared Mallalieu, PA is located at 484 Ritchie Hwy Suite A, Severna Park, MD 21146. The listed phone number is (410) 544-4600.

What is Jared Mallalieu, PA's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Jared Mallalieu, PA was last updated on August 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.