Robert Scott Malloy, N.P.
Registered Nurse in West Bloomfield, MI. Individual provider (NPI-1).
NPI number1134493935
StatusActive
Last updated in NPPESFeb 27, 2012
Details
- NPI
- 1134493935
- Entity type
- Individual (NPI-1)
- Name
- Mr. Robert Scott Malloy
- Credential
- N.P.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 27, 2012
- Last updated
- Feb 27, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 4704169038 | MI | Yes |
Practice location
5790 Cherrywood#1703
West Bloomfield, MI 48322-4518
Phone 248-977-0811
Mailing address
5790 Cherrywood#1703
West Bloomfield, MI 48322-4518
Phone 248-977-0811
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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