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

Individual provider Family Medicine Physician · NPI 1083619209

Mark Mitchell Malicki, MD is a Family Practice in Johnstown, Pennsylvania. Graduated from Jefferson Medical College of Thomas Jefferson University in 1997, 29 years ago. Practices with Richard M Kastelic MD and Assoc PC, a 6-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
29
Trained at
Jefferson Medical College of Thomas Jefferson University
Licensed in
PA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

322 Warren St Ste 300
Johnstown, PA 15905-3443
Phone: (814) 288-1418
Fax: (814) 288-1525
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD069004L (PA)

Record details

NPI number1083619209
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 15, 2005
Last updated in NPPESJune 17, 2010
Mailing address322 Warren St, Ste 300, Johnstown, PA 15905-3443

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolJEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated 1997 (29 years in practice)
Group practice Richard M Kastelic Md And Assoc Pc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Johnstown