DR. AMANDA MALNIKOFF DO
NPI 1104561174
Student in an Organized Health Care Education/Training Program in Charleston, WV
About Dr. Amanda Malnikoff Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. AMANDA MALNIKOFF DO (NPI 1104561174) is an individual student in an organized health care education/training program in Charleston, West Virginia and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Amanda Malnikoff Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHARLESTON, WV 25304
CHARLESTON, WV 25304
CHARLESTON, WV 25304
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 Amanda Malnikoff's NPI number?
The NPI number for Amanda Malnikoff is 1104561174. It was assigned to this individual provider in the NPPES registry on May 3, 2022.
Where is Amanda Malnikoff located?
Amanda Malnikoff practices at 3200 Maccorkle Ave SE, Charleston, WV 25304. The listed phone number is (304) 388-5590.
What is Amanda Malnikoff's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Amanda Malnikoff enrolled in Medicare?
Yes. Amanda Malnikoff is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Amanda Malnikoff was last updated on May 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Amanda Malnikoff, DO · NPI 1104561174
Student in an Organized Health Care Education/Training Program provider in Charleston, West Virginia. Individual provider, active in the CMS NPPES registry since May 3, 2022.
## Identity
- **NPI:** 1104561174 (Entity type: Individual)
- **Enumerated:** May 3, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 3200 MACCORKLE AVE SE, Charleston, WV 25304-1297
- **Phone:** (304) 388-5590
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** May 3, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1104561174) · Data from the CMS NPPES public registry.