Provider Demographics
NPI:1164423729
Name:MALEY JR., RICHARD HARDY (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:HARDY
Last Name:MALEY JR.
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 BOWER HILL RD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15243-1873
Mailing Address - Country:US
Mailing Address - Phone:412-942-5710
Mailing Address - Fax:412-942-5738
Practice Address - Street 1:1000 BOWER HILL RD
Practice Address - Street 2:SUITE 204
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15243-1873
Practice Address - Country:US
Practice Address - Phone:412-942-5710
Practice Address - Fax:412-942-5738
Is Sole Proprietor?:No
Enumeration Date:2005-08-04
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD055722L208600000X, 208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0017142790001Medicaid
OH2370214Medicaid
WV129311000Medicaid
PAE39210Medicare UPIN
PA330005908Medicare PIN
OH2370214Medicaid