Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154774107 Individual Practitioner Male Practitioner

Dwight M Malone

Driver • Mesa, AZ

Professional Overview & Biography Verified Profile Summary

Dwight Malone is a registered healthcare professional specializing in Driver in Mesa, AZ. Practice services are available at 1505 N COUNTRY CLUB DR APT 118 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1505 N Country Club Dr Apt 118

Mesa, AZ 852012518

Telephone 4805474960

Specialty Benchmarks & Practice Insights

Comparative analytics for Driver in Mesa, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
6 Specialists

Practicing in Mesa, AZ (109 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Driver Primary Specialty

NUCC Taxonomy Code: 172A00000X

State License AZ L2088992

A person employed to operate a motor vehicle as a carrier of persons or property.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
812493202 (AZ)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 14, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 14, 2016

Registered at 1505 N COUNTRY CLUB DR APT 118, MESA, AZ 852012518 (Tel: 4805474960)

📍
Updated Business Mailing Address July 14, 2016

Registered at 1505 N COUNTRY CLUB DR APT 118, MESA, AZ 852012518 (Tel: 4805474960)

👤
Provider Name / Credentials Updated July 14, 2016

Recorded as DWIGHT MALONE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2016

Driver (License #L2088992 in AZ)

🟢
Initial NPI Registration & Enumeration July 14, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154774107
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 14, 2016
Last Update: July 14, 2016
Sole Proprietor: No

Mailing Address

1505 N Country Club Dr Apt 118

Mesa, AZ 852012518

Phone: 4805474960

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.