Marty P Malone, PA-C
Physician Assistant in Spokane, WA. Individual provider (NPI-1).
NPI number1154496271
StatusActive
Last updated in NPPESJan 29, 2019
Details
- NPI
- 1154496271
- Entity type
- Individual (NPI-1)
- Name
- Marty P Malone
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 22, 2006
- Last updated
- Jan 29, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- 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 |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA10005128 | WA | Yes |
Practice location
400 E 5th AveSpokane, WA 99202-1334
Phone 509-838-2531
Mailing address
358 N Main StColville, WA 99114-2310
Phone 509-684-1440 · Fax 509-684-2745
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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