STEPHEN M MALOFF MD PA – NPI #1417155284
Plastic Surgery

A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them.

STEPHEN M MALOFF MD PA is a plastic surgeon located in POCATELLO, ID. NPPES has assigned the NPI number 1417155284 to STEPHEN M MALOFF MD PA on July 03, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2082S0099X from the Health Care Provider Taxonomy code set, which is classified as Plastic Surgery, specializing in Plastic Surgery Within the Head and Neck

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for STEPHEN M MALOFF MD PA below.

NPI Profile for
STEPHEN M MALOFF MD PA

NPI Number
1417155284
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
STEPHEN M MALOFF MD PA
Primary location
1950 E CLARK STREET
SUITE A
POCATELLO, ID 83205
Phone: (208) 232-5550 Fax: (208) 232-5553
Mailing address
PO BOX 4948
1950 E CLARK STREET SUITE A
POCATELLO, ID 83205
Phone: (208) 232-5550 Fax: (208) 232-5553
Organization Subpart
No
Authorized Official
STEPHEN MALOFF
PHYSICIAN
Phone: (208) 232-5550
Updated
Identifiers

Identifiers for STEPHEN M MALOFF MD PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIDD03833100
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2082S0099X
- Plastic Surgery / Plastic Surgery Within the Head and Neck (Primary)
ID M3508

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.