Provider Demographics
NPI:1669691267
Name:MALUDY, JEFFREY C (MD)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:C
Last Name:MALUDY
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4417 N HOLLAND SYLVANIA RD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43623-3518
Mailing Address - Country:US
Mailing Address - Phone:419-842-1100
Mailing Address - Fax:419-842-1119
Practice Address - Street 1:4417 N HOLLAND SYLVANIA RD
Practice Address - Street 2:SUITE 301
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43623-3518
Practice Address - Country:US
Practice Address - Phone:419-842-1100
Practice Address - Fax:419-842-1119
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2025-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH 35-048825207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH00079OtherPARAMOUNT
OH0520412Medicaid
OH251774OtherUNITED HEALTH CARE
OH341948323OtherPHCS
OH341948323OtherCIGNA
OH341948323OtherFIRST HEALTH AFFORDABLE
OH602079OtherFAMILY HEALTH PLAN
OH341948323OtherMERCY HEALTH PLANS PHO
OH341948323OtherCIGNA
OH341948323OtherFIRST HEALTH AFFORDABLE