Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1245421403 Individual Practitioner Female Practitioner

Dr. Jamie A Mallah , MD

Pediatrics • Lutz, FL

Professional Overview & Biography Verified Profile Summary

Dr. Jamie Mallah, MD is a registered healthcare professional specializing in Pediatrics in Lutz, FL. Practice services are available at 4683 VAN DYKE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4683 Van Dyke Rd

Lutz, FL 335584880

Telephone 8139687171
Fax 8139687282
Associated Practice Facility / Clinic
🏢 Baycare Medical Group Inc Facility NPI 1255902912

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Lutz, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 4.0 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
25 Specialists

Practicing in Lutz, FL (4160 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License FL ME98703

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
279016500 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1437353554

Doctor of Medicine (M.D.)

NPI 1730182312

Doctor of Medicine (M.D.)

Kiara Hodge

Pediatrics

NPI 1801537170
NPI 1811315518

Doctor of Medicine (M.D.)

NPI 1881632479

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 21, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location September 21, 2011

Registered at 4683 VAN DYKE RD, LUTZ, FL 335584880 (Tel: 8139687171)

📍
Updated Business Mailing Address September 21, 2011

Registered at 4902 EISENHOWER BLVD, SUITE 300, TAMPA, FL 336346344 (Tel: 8136362000)

👤
Provider Name / Credentials Updated September 21, 2011

Recorded as JAMIE MALLAH, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2011

Pediatrics (License #ME98703 in FL)

🟢
Initial NPI Registration & Enumeration August 05, 2007

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: 1245421403
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 05, 2007
Last Update: September 21, 2011
Sole Proprietor: No

Mailing Address

4902 Eisenhower Blvd, Suite 300

Tampa, FL 336346344

Phone: 8136362000

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.