John Mallow, MD

Student in an Organized Health Care Education/Training Program in Cleveland, OH. Individual provider (NPI-1).

NPI number1144178484

StatusActive

Last updated in NPPESMar 20, 2026

Details

NPI: 1144178484
Entity type: Individual (NPI-1)
Name: John Mallow
Credential: MD
Sex: Male
Sole proprietor: No
Enumeration date: Mar 20, 2026
Certification date: Mar 20, 2026
Last updated: Mar 20, 2026

Medicare and OIG

Medicare enrolled (PECOS): Yes · ORDER AND REFERRING ONLY - EMERGENCY MEDICINE
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
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
390200000X	Student in an Organized Health Care Education/Training Program	–	–	Yes

Practice location

11100 Euclid Ave
Cleveland, OH 44106-1716

Phone 216-844-7705

Mailing address

11100 Euclid Ave
Cleveland, OH 44106-1716

Phone 216-844-7705

Is something wrong?

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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