Dr. Seth N J Mallay, D.O.
Family Medicine in Hillsdale, MI. Individual provider (NPI-1).
NPI number1316202575
StatusActive
Last updated in NPPESJul 22, 2015
Details
- NPI
- 1316202575
- Entity type
- Individual (NPI-1)
- Name
- Dr. Seth N J Mallay
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 12, 2012
- Last updated
- Jul 22, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- 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 |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 5101019724 | MI | Yes |
Practice location
240 W Carleton RdHillsdale, MI 49242-5034
Phone 517-212-8140 · Fax 517-212-8141
Mailing address
505 N Jackson StJackson, MI 49201-1266
Phone 517-748-5500 · Fax 517-783-2728
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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