| Dr Michael O'malley, MD | |
| 751 Liberty St, Meadville, PA 16335 | |
| (814) 333-5144 | |
| (814) 373-2255 | 
| Full Name | Dr Michael O'malley | 
|---|---|
| Gender | Male | 
| Speciality | Radiology - Diagnostic Radiology | 
| Location | 751 Liberty St, Meadville, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1649258062 | NPI | - | NPPES | 
| 3084726 | Medicaid | TN | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD25732 (Tennessee) | Secondary | 
| 2085R0202X | Radiology - Diagnostic Radiology | MD051141L (Pennsylvania) | Primary | 
| Entity Name | Ut Regional One Physicians Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1093130585 PECOS PAC ID: 5698993418 Enrollment ID: O20140820000662 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Michael O'malley, MD 751 Liberty St, Meadville, PA 16335-2559 Ph: (814) 333-5144 | Dr Michael O'malley, MD 751 Liberty St, Meadville, PA 16335 Ph: (814) 333-5144 | 
| Frederic Thomas Mcdermott, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 751 Liberty St, Meadville, PA 16335 Phone: 814-333-5145 Fax: 814-333-5197 | |
| Gautam C Thakur, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 751 Liberty St, Meadville, PA 16335 Phone: 814-333-5144 Fax: 814-373-2255 | |
| Dr. Brian J. Karlovits, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 18201 Conneaut Lake Rd, Meadville, PA 16335 Phone: 814-373-2335 Fax: 814-373-2338 | |
| Eric W Svenson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 16792 Conneaut Lake Rd, Meadville, PA 16335 Phone: 814-373-2335 Fax: 814-373-2338 |