Jared Mallalieu, PA
NPI 1053542985ActiveOrganization· Surgery· Severna Park, MD
Surgery in Severna Park, Maryland, registered in NPPES in July 2009. The authorized official on file is Jared Emerson Mallalieu, D.O., Owner/Director.
Overview
| NPI | 1053542985 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 27, 2009 |
| Last updated in NPPES | Aug 17, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | H68311 | MD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other general surgeons in Severna Park
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