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Deactivated NPI 1164822029 Deactivated / Inactive NPI Male Practitioner

Dr. Robert Francis Malison , MD

Specialist • Meridian, ID

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Malison has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 28, 2014
NPI Deactivation Date September 16, 2020
Total Practice Duration ~6 Years of Practice (2014 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Malison, MD was a registered Specialist practicing in Meridian, ID. Throughout an active medical career spanning 6 years, Dr. Malison provided care at the practice location at 3975 E CLOCKTOWER LN APT 326 until profile deactivation on 2020-09-16.

Practice Location & Contact Primary Location

Practice Address

3975 E Clocktower Ln Apt 326

Meridian, ID 836429141

Telephone 2083195108

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Meridian, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 30.0 Yrs
State Avg: 35.5 Yrs
Regional Practice Density
10 Specialists

Practicing in Meridian, ID (194 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License ID M-2763

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated September 16, 2020

Record deactivated on September 16, 2020

NPI Profile Active August 28, 2014

NPI status registered as active in NPPES database

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Updated Practice Location August 28, 2014

Registered at 3975 E CLOCKTOWER LN APT 326, MERIDIAN, ID 836429141 (Tel: 2083195108)

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Updated Business Mailing Address August 28, 2014

Registered at 3975 E CLOCKTOWER LN APT 326, MERIDIAN, ID 836429141 (Tel: 2083195108)

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Provider Name / Credentials Updated August 28, 2014

Recorded as ROBERT MALISON, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2014

Specialist (License #M-2763 in ID)

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Initial NPI Registration & Enumeration August 28, 2014

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: 1164822029
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 28, 2014
Last Update: August 28, 2014
Deactivation Date: September 16, 2020

Mailing Address

3975 E Clocktower Ln Apt 326

Meridian, ID 836429141

Phone: 2083195108

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.