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

NPI Status: Active since August 20, 2009

Contact Information

1300 SUNSET DR
SUITE B
GRENADA, MS
ZIP 38901
Phone: (662) 226-6430
Fax: (662) 226-0018

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  • Organization
  • Family Medicine
  • Accepts Insurance

About MAL S RIDDELL, D.O. CLINIC

This page provides the complete NPI Profile along with additional information for Mal S Riddell, D.o. Clinic, a primary care provider established in Grenada, Mississippi operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1962634170 assigned on August 2009. The practitioner's primary taxonomy code is 207Q00000X with license number 08590 (MS). The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Mal S Riddell Iii D.o. (Owner)

NPI
1962634170
Provider Name
MAL S RIDDELL, D.O. CLINIC
Entity Type
Organization
Location Address
1300 SUNSET DR SUITE B GRENADA, MS 38901
Location Phone
(662) 226-6430
Location Fax
(662) 226-0018
Mailing Address
1300 SUNSET DR SUITE B GRENADA, MS 38901
Mailing Phone
(662) 226-6430
Mailing Fax
(662) 226-0018
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-20-2009
Last Update Date
01-06-2017
Code Navigator

A primary care provider (PCP) like Mal S Riddell, D.o. Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
08590
License State
MS
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Molina Gold Standard - HMO
  • Molina Silver Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MAL S RIDDELL III D.O.

Authorized Official Title
OWNER
Authorized Official Phone
(662) 226-6430

Reviews for MAL S RIDDELL, D.O. CLINIC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1962634170, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
2
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
3
Unchanged
Pos 7
4
Doubled → 8
Pos 8
1
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 6 → 12 → 3 4 → 8 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 2 + 2 + 1 + 2 + 3 + 8 + 1 + 1 + 4 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1962634170.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Podiatrist
1300 SUNSET DR, SUITE P
GRENADA, MS 38901
Clinic/Center
1300 SUNSET DR, SUITE U
GRENADA, MS 38901
Internal Medicine (Cardiovascular Disease)
1300 SUNSET DR, STE W
GRENADA, MS 38901
Dermatology
1300 SUNSET DR, SUITE A
GRENADA, MS 38901
Internal Medicine (Cardiovascular Disease)
1300 SUNSET DR, SUITE W
GRENADA, MS 38901
Family Medicine
1300 SUNSET DR, SUITE F
GRENADA, MS 38901
Family Medicine
1300 SUNSET DR, SUITE F
GRENADA, MS 38901
Family Medicine
1300 SUNSET DR, SUITE F
GRENADA, MS 38901
Otolaryngology
1300 SUNSET DR, SUITE R
GRENADA, MS 38901
Nurse Practitioner (Family)
1300 SUNSET DR, SUITE Q
GRENADA, MS 38901
Nurse Practitioner (Family)
1300 SUNSET DR, SUITE Q
GRENADA, MS 38901
Occupational Therapist
1300 SUNSET DR, SUITE F
GRENADA, MS 38901
Family Medicine
1300 SUNSET DR, SUITE F
GRENADA, MS 38901
Dermatology
1300 SUNSET DR, SUITE A
GRENADA, MS 38901
Specialist
1300 SUNSET DR, SUITE A
GRENADA, MS 38901
Podiatrist
1300 SUNSET DR, SUITE P
GRENADA, MS 38901
Physical Therapist
1300 SUNSET DR, STE G
GRENADA, MS 38901
Clinic/Center (Sleep Disorder Diagnostic)
1300 SUNSET DR, SUITE E
GRENADA, MS 38901
Nurse Practitioner (Family)
1300 SUNSET DR, STE Q
GRENADA, MS 38901
Internal Medicine (Cardiovascular Disease)
1300 SUNSET DR, SUITE W
GRENADA, MS 38901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962634170, enumerated as an "organization" on August 20, 2009.

The provider is located at 1300 SUNSET DR SUITE B GRENADA, MS 38901 and the phone number is (662) 226-6430.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Molina Healthcare. Please consult your insurance carrier or call the provider to verify.