MEDICARE: ROBERT FRANCIS MALARKEY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	35053936M	OH
2	207X00000X	Orthopaedic Surgery Physician	35053936	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	35053936	OTHER	OH	STATE LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801892971
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT FRANCIS MALARKEY MD

Provider Business Mailing Address
First Line	:	3170 KETTERING BLVD BLDG B3
Second Line	:
City	:	MORAINE
State	:	OH
Zip	:	45439-1924
Country	:	US
Telephone Number	:	937-991-3188
Fax Number	:	937-223-9811

Provider Business Practice Location Address
First Line	:	3130 N COUNTY ROAD 25A STE 116
Second Line	:
City	:	TROY
State	:	OH
Zip	:	45373-1337
Country	:	US
Telephone Number	:	937-335-3561
Fax Number	:	937-339-1213

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2005
Last Update Date	:	03/07/2023

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