MALORIE LYN SRIDHAR (NPI# 1164868485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164868485 |
| Entity Type | Individual |
| Full Name | MALORIE LYN SRIDHAR |
| Credential | MD |
| Practice Address |
134 Elon Rd Madison Heights VA 24572-2536 |
| Practice Telephone | 4344552480 |
| Mailing Telephone | 4344552480 |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2020-04-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2015-00635 | NC | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 2015-00635 | NC | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 41 Oakland Rd, Suite 300, Asheville, NC 28801 | 8282528885 |
| Street Address |
134 ELON RD |
| City | MADISON HEIGHTS |
| State | VA |
| Zip Code | 24572-2536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104918887 | Duane Kresge | Nurse Practitioner | 134 Elon Rd, Madison Heights, VA 24572-2536 | 2006-09-29 |
| 1699303222 | Jessica Leigh Phillips | Nurse Practitioner | 134 Elon Rd, Madison Heights, VA 24572-2536 | 2020-03-30 |
| 1326675026 | Lynn Sofia Olmsted | Midwife | 134 Elon Rd, Madison Heights, VA 24572-2536 | 2020-03-24 |
| 1053969188 | Jennifer Lynn Shumate | Nurse Practitioner | 134 Elon Rd, Madison Heights, VA 24572-2536 | 2019-09-02 |
| 1104378744 | Brenda Jean Kozak | Nurse Practitioner | 134 Elon Rd, Madison Heights, VA 24572-2536 | 2016-10-31 |
| 1750784880 | Rikki Mcconnell | Nurse Practitioner | 134 Elon Rd, Madison Heights, VA 24572-2536 | 2014-10-03 |
| 1972858660 | Johnson Health Center | Clinic/Center | 134 Elon Rd, Madison Heights, VA 24572-2536 | 2012-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821544453 | Select Rehab | Assisted Living Facility | 268 Hilltop Dr, Madison Heights, VA 24572 | 2016-09-01 |
| 1740421031 | Deborah Lynch Fletcher | Nurse's Aide | 5068 South Amherst Hwy, Madison Heights, VA 24572 | 2009-03-16 |
| 1710143854 | Commonwealth Chiropractic Center, Inc. | Chiropractor | 3756 South Amherst Highway, Suite 100, Madison Heights, VA 24572 | 2008-07-29 |
| 1174689020 | Sunrise Adult Day Care Center | Durable Medical Equipment & Medical Supplies | 4830 South Amherst Hwy, Madison Heights, VA 24572 | 2006-12-28 |
| 1942385786 | Madison Heights Eye Care PC Optometrists | Optometrist | 5076 South Amherst Hwy, Madison Heights, VA 24572 | 2006-10-26 |
| 1710078183 | Patricia L Evans | Pharmacist | 521 Colony Rd Rt 210 East, Madison Heights, VA 24572 | 2006-09-28 |
| 1952407330 | Fredrick P Reynolds | Optometrist | 5076 S. Amherst Highway, Madison Heights, VA 24572 | 2006-09-15 |
| 1740384957 | Centra Health Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1410 Kentmoor Farm Rd, Madison Heights, VA 24572 | 2006-09-08 |
| 1891725370 | Amy N French | Social Worker | 3742 S Amherst Hwy, Madison Heights, VA 24572 | 2006-07-03 |
| 1730610841 | Janna Laverdiere | Dentist | 239 Trojan Rd, Madison Heights, VA 24572 | 2017-03-21 |
| Find all providers in zip 24572 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306133863 | Randall Colvin | Family Medicine | 27483 Dequindre Rd Ste 303, Madison Heights, MI 48071-5715 | 2011-07-06 |
| 1225110737 | Central Virginia Family Physicians Inc | Family Medicine | 200 Amelon Sq, Madison Heights, VA 24572-5981 | 2006-10-20 |
| 1598715971 | Peter George Tucker | Family Medicine | 655 W 13 Mile Rd, Madison Heights, MI 48071-1850 | 2006-05-10 |
| 1154380129 | Tara J Caudill-deaton | Family Medicine | 1200 W 12 Mile Rd, Madison Heights, MI 48071-4439 | 2006-03-20 |
| 1336127323 | Thomas Elroy Dobyns | Family Medicine | 4579 S Amherst Hwy, Madison Heights, VA 24572-5343 | 2006-01-09 |
| 1952385700 | James S Lewerenz | Family Medicine | 1467 E 12 Mile Rd, Madison Heights, MI 48071-2653 | 2005-12-05 |
| 1487638771 | Michelle Glazer-zucker | Family Medicine | 1385 E 12 Mile Rd, Suite 100, Madison Heights, MI 48071-2602 | 2005-12-01 |
| 1679555361 | Frank G Garcia | Family Medicine | 4262 S Amherst Hwy, Madison Heights, VA 24572-5363 | 2005-11-17 |
| 1760473094 | Robert T Hasbany | Family Medicine | 28200 John R Rd, Madison Heights, MI 48071-2814 | 2005-11-04 |
| 1710974951 | Benjamin Nguyen | Family Medicine | 649 E 12 Mile Rd, Madison Heights, MI 48071-2568 | 2005-10-03 |
| Find all providers in MADISON HEIGHTS | ||||
| City | MADISON HEIGHTS |
| Zip Code | 24572 |
Please comment or provide details below to improve the information on MALORIE LYN SRIDHAR.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.