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

Matthew Layne Mallory, MD

Individual provider Radiation Oncology Physician · NPI 1194145532

Matthew Layne Mallory, MD is a Radiation Oncology in Fayetteville, Arkansas. Graduated from University of Virginia School of Medicine in 2014, 12 years ago. Practices with Golden Valley Memorial Hospital District, a 137-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Arkansas, Kansas and Missouri.

Years since qualifying
12
Trained at
University of Virginia School of Medicine
Licensed in
AR, KS, MO
In the registry since
2014
Specialties on file
4
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

60 E Monte Painter Dr
Fayetteville, AR 72703-4014
Phone: (479) 587-1700
Fax: (479) 587-1366
Show map & directions

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

Additional practice locations (3)

  • 808 S 52nd St, Rogers, AR 72758-8602 — (479) 587-1700
  • 3901 Rainbow Blvd, Kansas City, KS 66160-8500 — (913) 588-3600
  • 2750 Clay Edwards Dr Lowr Level, North Kansas City, MO 64116-3237 — (816) 691-5216

Specialties & licences

Radiation Oncology Physician (primary) Taxonomy 2085R0001X · Licence E-14474 (AR)
Radiation Oncology Physician Taxonomy 2085R0001X · Licence 0442072 (KS)
Radiation Oncology Physician Taxonomy 2085R0001X · Licence 2019024443 (MO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1194145532
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 24, 2014
Last updated in NPPESOctober 8, 2024
Certification dateOctober 8, 2024
Mailing address222 E Dunbar Ln Apt 326, Fayetteville, AR 72703-3276

Medicare enrollment

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

Medicare specialtyRADIATION ONCOLOGY
Medical schoolUNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Golden Valley Memorial Hospital District — 137 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Fayetteville