CHARLES M. MALISKA, III M.D. – NPI #1053467894
Surgery

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Health Care Provider Taxonomy Code for Surgery

CHARLES MALISKA, III is a surgeon located in FORT PIERCE, FL. NPPES has assigned the NPI number 1053467894 to CHARLES MALISKA, III on January 26, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 3 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2086S0102X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Surgical Critical Care

The NPI profile was previously updated about 5 years ago on Jun 07, 2021. 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 CHARLES MALISKA, III below.

NPI Profile for
CHARLES M. MALISKA, III

NPI Number
1053467894
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
CHARLES M. MALISKA, III
Credentials
M.D.
Primary location
2402 FRIST BLVD STE 204
FORT PIERCE, FL 34950-4838
Phone: (772) 462-3939 Fax:
3 Other location(s):
1900 Sullivan Ave
Daly City, CA 94015-2200
Phone: (650) 992-4000
1919 S Wheeling Ave Ste 600
Tulsa, OK 74104-5635
Phone: (918) 634-7500
Fax: (918) 634-7560
Methodist Dallas Medical Center
1441 N Beckley Ave
Dallas, TX 75203-1201
Phone: (214) 947-2315
Fax: (214) 947-2361
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Jun 07, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CHARLES MALISKA, III

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
MEDICAIDOK200330440A
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
2086S0102X
- Surgery / Surgical Critical Care (Primary)		 FL ME150816
2086S0127X
- Surgery / Trauma Surgery		 CA A99319
208600000X
- Surgery		 OK 27745

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.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
CHARLES MALISKA, III is affiliated with the following medical group(s):
  • HOSPITAL
    • HCA FLORIDA LAWNWOOD HOSPITAL
      1700 S 23RD ST
      FORT PIERCE, FL 34950
    • ST LUCIE MEDICAL CENTER
      1800 SE TIFFANY AVE
      PORT SAINT LUCIE, FL 34952

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.