DR. JOHN JOSEPH MALLON III MD
NPI 1790488690
Student in an Organized Health Care Education/Training Program in Baltimore, MD
About Dr. John Joseph Mallon Iii Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN JOSEPH MALLON III MD (NPI 1790488690) is an individual student in an organized health care education/training program in Baltimore, Maryland and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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. John Joseph Mallon Iii Md 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.
BALTIMORE, MD 21201
BALTIMORE, MD 21201
BALTIMORE, MD 21201
BALTIMORE, MD 21201
BALTIMORE, MD 21201
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 John Mallon's NPI number?
The NPI number for John Mallon is 1790488690. It was assigned to this individual provider in the NPPES registry on March 22, 2023. The provider is also known as Dr. John Joseph Mallon MD.
Where is John Mallon located?
John Mallon practices at 22 S Greene St # S11c, Baltimore, MD 21201. The listed phone number is (410) 328-1239.
What is John Mallon's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is John Mallon enrolled in Medicare?
Yes. John Mallon is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for John Mallon was last updated on March 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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. John Joseph Mallon III, MD · NPI 1790488690
Student in an Organized Health Care Education/Training Program provider in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since March 22, 2023.
## Identity
- **NPI:** 1790488690 (Entity type: Individual)
- **Enumerated:** March 22, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 22 S GREENE ST # S11C, Baltimore, MD 21201-1544
- **Phone:** (410) 328-1239
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** March 22, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1790488690) · Data from the CMS NPPES public registry.