Active NPI 1063412468 Individual Practitioner Female Practitioner

Amy J Malone , PA-C

Physician Assistant - Surgical • Longview, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Amy Malone, PA-C is a certified Physician Assistant - Surgical practicing in Longview, TX. With approximately 32 years of clinical experience since graduating from University Of Texas Southwestern Medical School At Dallas in 1994, Amy Malone delivers high-quality medical care to the local community at 1300 N 4TH ST.

Amy Malone is affiliated with Texas Oncology Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include insertion of needle into vein for collection of blood sample, complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count, blood test, comprehensive group of blood chemicals. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1300 N 4th St

Longview, TX 756014717

Telephone 9037576042

Fax 9037581801

Associated Practice Facility / Clinic

🏢 Diagnostic Clinic Of Longview Pa Facility NPI 1386638468

Medicare Profile & Education

Medical School

University Of Texas Southwestern Medical School At Dallas

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Longview, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs Matches City Avg

City Avg: 32.0 Yrs

State Avg: 12.1 Yrs

Regional Practice Density

2 Specialists

Practicing in Longview, TX (1367 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Malone (32 Years) 32 Yrs

Longview Specialty Average (32.0 Years) 32.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	650	259	$20.00	$8.61
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	596	253	$36.00	$7.52
80053 Blood test, comprehensive group of blood chemicals	494	245	$64.00	$10.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	293	139	$368.00	$102.77
99213 Established patient office or other outpatient visit, typically 15 minutes	288	187	$250.00	$73.37
82728 Ferritin (blood protein) level	111	88	$60.00	$12.94
83540 Iron level	108	87	$27.00	$6.13
83550 Iron binding capacity	108	87	$35.00	$8.29
83735 Magnesium level	84	29	$29.00	$6.57
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	75	54	$496.00	$142.74
80048 Blood test, basic group of blood chemicals (calcium, total)	74	33	$49.00	$8.29
85007 Microscopic examination for white blood cells with manual cell count	54	29	$22.00	$3.66
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	54	29	$34.00	$6.24
85055 Reticulated (young) platelet measurement	53	32	$143.00	$34.46
84443 Blood test, thyroid stimulating hormone (TSH)	51	37	$80.00	$16.46
83615 Lactate dehydrogenase (enzyme) level	49	36	$31.00	$5.92
86300 Immunologic analysis for detection of tumor antigen, quantitative; ca 15-3	45	33	$128.00	$20.39
82378 Carcinoembryonic antigen (cea) protein level	32	14	$99.00	$18.58
82746 Folic acid level	29	28	$73.00	$14.41
82607 Cyanocobalamin (vitamin B-12) level	29	28	$76.00	$14.78
84153 Psa (prostate specific antigen) measurement, total	18	14	$94.00	$18.02
81001 Manual urinalysis test with examination using microscope, automated	14	12	$28.00	$3.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	749	300	$20.00	$8.40
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	688	290	$36.00	$7.59
80053 Blood test, comprehensive group of blood chemicals	595	271	$64.00	$10.34
99213 Established patient office or other outpatient visit, typically 15 minutes	332	210	$250.00	$73.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	314	158	$368.00	$104.08
82728 Ferritin (blood protein) level	115	78	$60.00	$13.36
83540 Iron level	113	77	$27.00	$6.34
83550 Iron binding capacity	113	77	$35.00	$8.57
85055 Reticulated (young) platelet measurement	67	37	$143.00	$35.03
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	65	52	$496.00	$145.86
83735 Magnesium level	64	25	$29.00	$6.57
84443 Blood test, thyroid stimulating hormone (TSH)	62	40	$80.00	$16.46
85007 Microscopic examination for white blood cells with manual cell count	57	31	$22.00	$3.72
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	57	31	$34.00	$6.34
82378 Carcinoembryonic antigen (cea) protein level	47	18	$99.00	$18.58
81002 Urinalysis, manual test	41	11	$15.00	$3.41
85610 Blood test, clotting time	40	14	$30.00	$4.20
82607 Cyanocobalamin (vitamin B-12) level	40	33	$76.00	$14.78
82784 Gammaglobulin (immune system protein) measurement	39	12	$56.00	$9.11
82746 Folic acid level	39	32	$73.00	$14.41
86300 Immunologic analysis for detection of tumor antigen, quantitative; ca 15-3	38	29	$128.00	$20.39
80048 Blood test, basic group of blood chemicals (calcium, total)	32	16	$49.00	$8.29
83615 Lactate dehydrogenase (enzyme) level	29	21	$31.00	$5.92
84153 Psa (prostate specific antigen) measurement, total	21	15	$94.00	$18.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	12	$150.00	$46.04
81001 Manual urinalysis test with examination using microscope, automated	13	11	$28.00	$3.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	436	227	$20.00	$2.96
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	392	211	$36.00	$7.64
80053 Blood test, comprehensive group of blood chemicals	308	195	$64.00	$10.41
99213 Established patient office or other outpatient visit, typically 15 minutes	284	181	$250.00	$74.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	280	156	$368.00	$104.58
85610 Blood test, clotting time	69	17	$30.00	$4.22
83540 Iron level	55	46	$27.00	$6.38
83550 Iron binding capacity	55	46	$35.00	$8.49
82728 Ferritin (blood protein) level	54	44	$60.00	$13.47
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	53	48	$496.00	$148.59
85007 Microscopic examination for white blood cells with manual cell count	34	26	$22.00	$3.75
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	33	26	$34.00	$6.39
83735 Magnesium level	33	18	$29.00	$6.63
84443 Blood test, thyroid stimulating hormone (TSH)	31	23	$80.00	$16.54
85055 Reticulated (young) platelet measurement	31	21	$143.00	$35.35
80048 Blood test, basic group of blood chemicals (calcium, total)	27	14	$49.00	$8.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	15	$150.00	$46.37
83615 Lactate dehydrogenase (enzyme) level	24	19	$31.00	$5.96
82378 Carcinoembryonic antigen (cea) protein level	17	13	$99.00	$18.64
86300 Immunologic analysis for detection of tumor antigen, quantitative; ca 15-3	13	13	$128.00	$20.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	498	247	$20.00	$2.99
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	418	214	$36.00	$7.75
80053 Blood test, comprehensive group of blood chemicals	385	201	$64.00	$10.54
99213 Established patient office or other outpatient visit, typically 15 minutes	353	210	$250.00	$75.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	323	197	$368.00	$107.77
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	67	58	$496.00	$151.15
85007 Microscopic examination for white blood cells with manual cell count	62	46	$22.00	$3.80
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	62	46	$34.00	$6.47
84443 Blood test, thyroid stimulating hormone (TSH)	55	41	$80.00	$16.80
83735 Magnesium level	52	31	$29.00	$6.59
82728 Ferritin (blood protein) level	51	40	$60.00	$13.63
83550 Iron binding capacity	46	37	$35.00	$8.74
83540 Iron level	46	37	$27.00	$6.47
80048 Blood test, basic group of blood chemicals (calcium, total)	41	24	$49.00	$8.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	26	$150.00	$46.80
85055 Reticulated (young) platelet measurement	39	27	$143.00	$35.74
85610 Blood test, clotting time	39	18	$30.00	$4.19
83615 Lactate dehydrogenase (enzyme) level	31	22	$31.00	$6.04
86300 Immunologic analysis for detection of tumor antigen, quantitative; ca 15-3	25	20	$128.00	$20.81
82378 Carcinoembryonic antigen (cea) protein level	24	17	$99.00	$18.96
81000 Manual urinalysis test with examination using microscope, non-automated	19	12	$26.00	$4.02
82607 Cyanocobalamin (vitamin B-12) level	18	18	$76.00	$15.08
82746 Folic acid level	17	17	$73.00	$14.70
84436 Thyroxine (thyroid chemical), total	15	11	$32.00	$6.87
84153 Psa (prostate specific antigen) measurement, total	12	11	$94.00	$18.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	476	238	$20.00	$2.98
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	412	215	$36.00	$7.69
99213 Established patient office or other outpatient visit, typically 15 minutes	406	238	$248.87	$61.89
80053 Blood test, comprehensive group of blood chemicals	386	205	$64.00	$10.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	257	160	$365.39	$88.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	101	52	$150.00	$37.43
85610 Blood test, clotting time	76	19	$29.82	$4.25
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	62	57	$496.00	$119.67
80048 Blood test, basic group of blood chemicals (calcium, total)	51	29	$49.00	$8.35
83735 Magnesium level	50	33	$29.00	$6.64
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	46	36	$34.00	$6.41
85007 Microscopic examination for white blood cells with manual cell count	46	36	$22.00	$3.76
82728 Ferritin (blood protein) level	37	29	$60.00	$13.55
84443 Blood test, thyroid stimulating hormone (TSH)	32	24	$80.00	$16.65
85055 Reticulated (young) platelet measurement	32	23	$143.00	$35.38
83615 Lactate dehydrogenase (enzyme) level	26	24	$31.00	$6.00
83540 Iron level	22	20	$27.00	$6.44
83550 Iron binding capacity	22	20	$35.00	$8.70
86300 Immunologic analysis for detection of tumor antigen, quantitative; ca 15-3	20	14	$128.00	$20.64
84153 Psa (prostate specific antigen) measurement, total	19	14	$94.00	$18.27
81003 Automated urinalysis test	17	16	$16.35	$2.23
82607 Cyanocobalamin (vitamin B-12) level	16	15	$76.00	$15.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	456	257	$250.00	$61.38
36415 Insertion of needle into vein for collection of blood sample	363	188	$20.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	290	183	$368.00	$89.47
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	277	159	$36.00	$8.46
80053 Blood test, comprehensive group of blood chemicals	266	149	$64.00	$11.47
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	67	64	$496.00	$120.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	52	31	$150.00	$37.12
85610 Blood test, clotting time	51	19	$30.00	$4.20
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	45	28	$34.00	$6.90
85007 Microscopic examination for white blood cells with manual cell count	45	28	$22.00	$3.67
80048 Blood test, basic group of blood chemicals (calcium, total)	39	33	$49.00	$9.21
82728 Ferritin (blood protein) level	32	24	$60.00	$14.85
83735 Magnesium level	30	18	$29.00	$7.29
83550 Iron binding capacity	24	21	$35.00	$9.52
83540 Iron level	24	21	$27.00	$7.05
85055 Reticulated (young) platelet measurement	23	21	$143.00	$33.63
84443 Blood test, thyroid stimulating hormone (TSH)	21	16	$80.00	$18.30
99497 Advance care planning, first 30 minutes	16	14	$292.00	$71.17
83615 Lactate dehydrogenase (enzyme) level	15	13	$31.00	$6.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	414	303	$203.65	$88.01
36415 Insertion of needle into vein for collection of blood sample	412	271	$20.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	259	195	$142.10	$59.52
80048 Blood test, basic group of blood chemicals (calcium, total)	247	190	$59.00	$10.20
80061 Blood test, lipids (cholesterol and triglycerides)	245	197	$66.00	$16.09
84443 Blood test, thyroid stimulating hormone (TSH)	177	142	$70.00	$20.33
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	175	149	$40.00	$9.40
84450 Liver enzyme (sgot), level	129	115	$22.00	$6.26
84460 Liver enzyme (sgpt), level	122	110	$18.00	$6.41
82550 Creatine kinase (cardiac enzyme) level, total	122	109	$27.00	$7.82
83036 Hemoglobin A1C level	120	92	$60.00	$11.59
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	96	96	$115.00	$95.47
80053 Blood test, comprehensive group of blood chemicals	93	86	$105.00	$12.66
84439 Thyroxine (thyroid chemical), free	93	77	$41.00	$10.91
85610 Blood test, clotting time	82	16	$23.00	$4.75
81001 Manual urinalysis test with examination using microscope, automated	76	64	$22.00	$3.84
82306 Vitamin d-3 level	62	60	$140.00	$35.36
81003 Automated urinalysis test	58	52	$18.00	$2.71
80076 Liver function blood test panel	53	51	$51.00	$9.89
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	48	31	$50.00	$16.52
87086 Bacterial colony count, urine	48	37	$35.00	$9.76
J0696 Injection, ceftriaxone sodium, per 250 mg	42	11	$8.00	$0.62
G0008 Administration of influenza virus vaccine	42	42	$20.00	$19.51
82607 Cyanocobalamin (vitamin B-12) level	40	35	$77.00	$17.91
90682 Influenza vaccine, quadrivalent derived from recombinant dna	40	40	$55.00	$52.30
G0009 Administration of pneumococcal vaccine	39	39	$20.00	$19.51
87804 Detection test by immunoassay with direct visual observation for influenza virus	32	16	$45.00	$16.22
G0103 Prostate cancer screening; prostate specific antigen test (psa)	32	32	$95.00	$22.26
83540 Iron level	29	25	$35.00	$7.83
82728 Ferritin (blood protein) level	26	22	$72.00	$16.49
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	23	21	$40.00	$10.46
71046 X-ray of chest, 2 views	23	23	$83.96	$18.22
90670 Pneumococcal vaccine for injection into muscle	21	21	$250.00	$195.77
83735 Magnesium level	21	19	$24.00	$8.10
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	20	20	$120.00	$105.59
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	20	17	$35.00	$7.82
87088 Bacterial urine culture	19	18	$20.00	$9.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	15	$84.38	$35.91
82570 Creatinine level to test for kidney function or muscle injury	16	16	$25.00	$6.26
82043 Urine microalbumin (protein) level	16	16	$70.00	$7.00
99496 Transitional care management services for problem of high complexity	15	15	$410.00	$190.39
99495 Transitional care management services for problem of at least moderate complexity	15	15	$300.00	$134.43
85652 Red blood cell sedimentation rate, to detect inflammation, automated	14	13	$20.00	$3.26
84550 Uric acid level, blood	14	12	$25.00	$5.47
93000 Routine ekg using at least 12 leads including interpretation and report	13	13	$65.00	$13.85
86140 Measurement C-reactive protein for detection of infection or inflammation	13	12	$28.00	$6.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	452	287	$203.27	$87.09
99213 Established patient office or other outpatient visit, typically 15 minutes	378	252	$138.02	$59.19
36415 Insertion of needle into vein for collection of blood sample	294	175	$20.00	$2.93
80053 Blood test, comprehensive group of blood chemicals	169	123	$105.00	$15.04
80061 Blood test, lipids (cholesterol and triglycerides)	153	115	$66.00	$10.16
93000 Routine ekg using at least 12 leads including interpretation and report	144	135	$61.81	$13.61
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	117	98	$40.00	$10.38
84443 Blood test, thyroid stimulating hormone (TSH)	103	84	$70.00	$22.59
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	84	56	$110.00	$56.75
83036 Hemoglobin A1C level	77	54	$60.00	$13.05
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	75	75	$115.00	$93.92
80048 Blood test, basic group of blood chemicals (calcium, total)	70	56	$59.00	$10.48
81001 Manual urinalysis test with examination using microscope, automated	60	50	$22.00	$4.21
G0008 Administration of influenza virus vaccine	48	48	$20.00	$19.60
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	47	38	$175.00	$75.09
90662 Influenza vaccine split virus, preservative free	45	45	$57.78	$47.91
82306 Vitamin d-3 level	41	38	$140.00	$36.53
87086 Bacterial colony count, urine	40	34	$35.00	$10.85
87804 Detection test by immunoassay with direct visual observation for influenza virus	38	18	$45.00	$16.11
71020 X-ray of chest, 2 views, front and side	32	29	$85.00	$14.18
83540 Iron level	31	26	$35.00	$8.70
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	30	22	$50.00	$20.52
G0103 Prostate cancer screening; prostate specific antigen test (psa)	29	29	$95.00	$24.73
81003 Automated urinalysis test	28	28	$18.00	$3.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	25	$80.00	$35.29
82728 Ferritin (blood protein) level	26	22	$72.00	$18.33
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	23	21	$40.00	$11.62
99318 Nursing facility annual assessment, typically 30 minutes	19	19	$171.00	$79.43
84439 Thyroxine (thyroid chemical), free	19	18	$41.00	$12.12
80076 Liver function blood test panel	18	17	$51.00	$6.81
87088 Bacterial urine culture	17	16	$20.00	$10.88
82550 Creatine kinase (cardiac enzyme) level, total	16	16	$27.00	$3.80
82607 Cyanocobalamin (vitamin B-12) level	16	15	$77.00	$19.32
83735 Magnesium level	15	13	$24.00	$9.01
G0009 Administration of pneumococcal vaccine	14	14	$20.00	$19.60
82570 Creatinine level to test for kidney function or muscle injury	13	12	$25.00	$6.96
90670 Pneumococcal vaccine for injection into muscle	12	12	$250.00	$185.01
82043 Urine microalbumin (protein) level	11	11	$70.00	$7.49

Medical Specialties & State Licenses

CMS Verified: 2021-07-28

Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License TX PA01024

Definition to come...

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License TX PA0124

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

204712803 (TX)

Medicaid State Provider ID

361638502 (TX)

Medicaid State Provider ID

204712805 (TX)

Hospital & Practice Group Affiliations

Texas Oncology Pa

815 S Washington Ave, Marshall, TX 756705341

Phone: 9039354601

Texas Oncology Pa

1400 N 4th St, Longview, TX 756014756

Phone: 9037572122

Texas Oncology Pa

7848 Gateway Blvd E, El Paso, TX 799151815

Phone: 9155991313

Texas Oncology Pa

1300 N 4th St, Longview, TX 756014717

Phone: 9037572122

Texas Oncology Pa

2026 S Jackson St, Jacksonville, TX 757665822

Phone: 9035862456

Texas Oncology Pa

Po Box, Dallas, TX 753911242

Practice Associates & Co-Workers

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

40 Associated Practitioners

Anna Schwoyer , APRN

Nurse Practitioner - Primary Care

NPI 1003732447

Advanced Practice Registered Nurse

Dr. Allessia Wilson , MD

Internal Medicine

NPI 1023752656

Doctor of Medicine (M.D.)

Chelsey Winningham , FNP-C

Nurse Practitioner - Family

NPI 1083481139

Family Nurse Practitioner (Certified)

Dr. Justin Hardin , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1124252796

Doctor of Medicine (M.D.)

Tracy Leach , NNP-BC

Nurse Practitioner - Neonatal

NPI 1144662032

NNPBC

Dr. Roger Kiser , MD

Internal Medicine

NPI 1154398840

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events

👤

Provider Name / Credentials Updated July 28, 2021

Recorded as AMY MALONE, PA-C

📍

Updated Practice Location October 29, 2018

Registered at 1300 N 4TH ST, LONGVIEW, TX 756014717 (Tel: 9037576042)

📍

Updated Business Mailing Address October 29, 2018

Registered at PO BOX 911230, DALLAS, TX 753901230 (Tel: 9729978000)

📍

Updated Practice Location April 11, 2018

Registered at 709 HOLLYBROOK DR STE 4500, LONGVIEW, TX 756052412 (Tel: 9037576042)

📍

Updated Business Mailing Address April 11, 2018

Registered at PO BOX 610393, DALLAS, TX 752610393 (Tel: 9032916187)

✅

NPI Profile Active November 16, 2012

NPI status registered as active in NPPES database

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Updated Practice Location November 16, 2012

Registered at 709 HOLLYBROOK DR, SUITE 4500, LONGVIEW, TX 756052411 (Tel: 9037576042)

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Updated Business Mailing Address November 16, 2012

Registered at PO BOX 847176, STE 504, DALLAS, TX 752847176 (Tel: 9032371800)

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Provider Name / Credentials Updated November 16, 2012

Recorded as AMY STACEY, PA-C

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2012

Physician Assistant (License #PA0124 in TX)

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2012

Physician Assistant (License #PA01024 in TX)

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Initial NPI Registration & Enumeration July 28, 2005

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1063412468

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 28, 2005

Last Update: July 28, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 911230

Dallas, TX 753901230

Phone: 9729978000

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

⚠️ Medical Disclaimer

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