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

Dr. Jack Dempsey Malone III, DO

Individual provider Internal Medicine Physician · NPI 1629561196

Dr. Jack Dempsey Malone III, DO is a Critical Care (Intensivists) in Casper, Wyoming. Graduated from Edward via Col of Osteo Medicine-Virginia Campus in 2018, 8 years ago. Practices with Banner Hospital Based Physicians West LLC, an 8-clinician group and accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
8
Trained at
Edward via Col of Osteo Medicine-Virginia Campus
Licensed in
WY
In the registry since
2018
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1233 E 2nd St
Casper, WY 82601-2926
Phone: (307) 577-7201
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 17310A (WY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 17310A (WY)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence 17310A (WY)

Record details

NPI number1629561196
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 10, 2018
Last updated in NPPESAugust 8, 2024
Certification dateAugust 8, 2024
Mailing address1233 E 2nd St, Casper, WY 82601-2926

Medicare enrollment

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

Medicare specialtyCRITICAL CARE (INTENSIVISTS)
Medical schoolEDWARD VIA COL OF OSTEO MEDICINE-VIRGINIA CAMPUS
Graduated 2018 (8 years in practice)
Group practice Banner Hospital Based Physicians West Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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