MAL S RIDDELL, D.O. CLINIC
NPI 1962634170
Family Medicine in Grenada, MS

Q: What is Mal S Riddell, D.O. Clinic's NPI number?

The NPI number for Mal S Riddell, D.O. Clinic is 1962634170. It was assigned to this organization in the NPPES registry on August 20, 2009.

Q: What is Mal S Riddell, D.O. Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since August 20, 2009

1300 SUNSET DR, SUITE B, GRENADA, MS 38901(662) 226-6430(662) 226-0018 Get Directions Write a Review

NPPES record last updated: January 6, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Mal S Riddell, D.o. Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAL S RIDDELL, D.O. CLINIC (NPI 1962634170) is a healthcare organization registered as a family medicine in Grenada, Mississippi and active in the NPI registry since August 2009. The organization lists Mal S Riddell, Owner, as its authorized official.

NPPES Registry Identity

NPI1962634170

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameMAL S RIDDELL, D.O. CLINIC

Location Address1300 SUNSET DR, SUITE BGrenada, MS 38901-4086

Mailing Address1300 Sunset Dr, Suite BGrenada, MS 38901-4086 · (662) 226-6430 · Fax (662) 226-0018

Phone(662) 226-6430

Fax(662) 226-0018

Organization SubpartNo

Authorized OfficialMal S RiddellOwner · (662) 226-6430

Enumeration DateAugust 20, 2009

Last NPPES UpdateJanuary 6, 2017

✔ NPI 1962634170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MS · 08590

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1300 SUNSET DR, Grenada, MS 38901

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MAL S. RIDDELL D.O.

Family Medicine

1300 SUNSET DR, SUITE B
GRENADA, MS 38901

Grenada County (662) 226-6430

W. BOYD MASSEY, M.D., P.A.

Otolaryngology

1300 SUNSET DR, SUITE R
GRENADA, MS 38901

Grenada County (662) 227-1695

DR. JOHN EDWARD SEIBEL JR. MD

Internal Medicine (Cardiovascular Disease)

1300 SUNSET DR, STE W
GRENADA, MS 38901

Grenada County (901) 767-3123

GEORGE M MILLER JR MD PC

Surgery

1300 SUNSET DR, SUITE R
GRENADA, MS 38901

Grenada County (662) 226-7540

LATIA MONANETTE BUTTS CFNP

Nurse Practitioner

1300 SUNSET DR, STE Q
GRENADA, MS 38901

Grenada County (662) 294-9101

GRENADA DIAGNOSTIC RADIOLOGY

Clinic/Center

1300 SUNSET DR, SUITE U
GRENADA, MS 38901

Grenada County (662) 226-9279

MR. CHARLES EDWARD HILL II B.S.PHYSICAL THERAPY

Physical Therapist

1300 SUNSET DR, STE G
GRENADA, MS 38901

Grenada County (662) 227-9748

GRENADA CARDIOLOGY LLC

Internal Medicine (Cardiovascular Disease)

1300 SUNSET DR, SUITE W
GRENADA, MS 38901

Grenada County (662) 227-9991

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mal S Riddell, D.O. Clinic's NPI number?

The NPI number for Mal S Riddell, D.O. Clinic is 1962634170. It was assigned to this organization in the NPPES registry on August 20, 2009.

Where is Mal S Riddell, D.O. Clinic located?

Mal S Riddell, D.O. Clinic is located at 1300 Sunset Dr Suite B, Grenada, MS 38901. The listed phone number is (662) 226-6430.

What is Mal S Riddell, D.O. Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Mal S Riddell, D.O. Clinic accept?

Health plans from Molina Healthcare list Mal S Riddell, D.O. Clinic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mal S Riddell, D.O. Clinic was last updated on January 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.