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

Johnny Ray Malicoat, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1649112624

Johnny Ray Malicoat, MD is an Obstetrics & Gynecology Physician in Madison, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2026.

Licensed in
WI
In the registry since
2026
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

600 Highland Ave
Madison, WI 53792-0001
Phone: (608) 263-6400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 102374-851 (WI)

Record details

NPI number1649112624
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 8, 2026
Last updated in NPPESJune 21, 2026
Certification dateJune 21, 2026
Mailing address600 Highland Ave, Madison, WI 53792-0001

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