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

Colleen Marie Malloy, PA-C

Individual provider Physician Assistant · NPI 1083197289

Colleen Marie Malloy, PA-C is a Physician Assistant in Columbus, Ohio. Licensed in Ohio. Registered with an NPI since 2018.

Licensed in
OH
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

111 S Grant Ave Ste 350
Columbus, OH 43215-4701
Phone: (614) 566-9550
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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 50.008234RX (OH)

Record details

NPI number1083197289
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 13, 2018
Last updated in NPPESOctober 6, 2023
Certification dateOctober 6, 2023

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