Fanta Mallard, MEDICAL ASSISTANT
Fanta Mallard, MEDICAL ASSISTANT is an Independent Medical Examiner Physician in Gary, IN, registered under NPI 1598490013. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 578 TENNESSEE ST, Gary, IN 46402. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| M6S9Q7R7 | IN | Independent Medical Examiner Physician primary |
This provider holds licence M6S9Q7R7 issued in IN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Independent Medical Examiner covers
A special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues. NUCC Health Care Provider Taxonomy, code 202C00000X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 202C00000X | Independent Medical Examiner Physician | M6S9Q7R7 | IN | primary |
| 170100000X | Ph.D. Medical Genetics | — | — | |
| 172A00000X | Driver | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1598490013 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jul 19, 2022 |
| Last updated | Jul 19, 2022 |
| Status | Active |
| Sole proprietor | Yes |
| Credential | MEDICAL ASSISTANT |
| Practice address |
578 TENNESSEE ST Gary, IN 46402 (312) 241-3044 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 5 | 9 | 8 | 4 | 9 | 0 | 0 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 5 | 9 | 8 | 8 | 9 | 0 | 0 | 2 |
Sum = 67 · next multiple of 10 = 70 · check digit = 3 · actual last digit = 3
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.