Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alisha Fay Maly, PA

Individual provider Emergency Medicine Physician · NPI 1275517443

Alisha Fay Maly, PA is a Physician Assistant in Kenosha, Wisconsin. Qualified in 2003, 23 years ago. Practices with Swea Fort SC, a 51-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
23
Licensed in
WI
In the registry since
2005
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

10400 75th St Aurora Medical Ctr
Kenosha, WI 53142
Phone: (262) 697-7000
Fax: (630) 734-1560
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1690-023 (WI)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 1690023 (WI)

Record details

NPI number1275517443
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedDecember 1, 2005
Last updated in NPPESJuly 31, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Swea Fort Sc — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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