SIDNEY MALLENBAUM


Address: 3 Riverside Cir, Roanoke, VA 24016-4955
Phone: 5402245170

SIDNEY MALLENBAUM (NPI# 1588734172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588734172
Entity Type Individual
Full Name SIDNEY MALLENBAUM
Credential MD
Practice Address 3 Riverside Cir
Roanoke
VA 24016-4955
Practice Telephone 5402245170
Mailing Telephone 5402245170
Enumeration Date 2006-11-09
Last Update Date 2019-11-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
0101045430 VA Allopathic & Osteopathic Physicians
N 2084N0400X Psychiatry & Neurology
Specialization: Neurology
ME137451 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 1011645-00 05

Office Location

Street Address 3 RIVERSIDE CIR
City ROANOKE
State VA
Zip Code 24016-4955

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376535872 Bruce E Johnson Internal Medicine 3 Riverside Cir, Roanoke, VA 24016-4955 2005-08-19
1194355024 Leanna M Stone Social Worker 3 Riverside Cir, Roanoke, VA 24016-4955 2020-01-20
1689231847 Ashley Light Audiologist 3 Riverside Cir, Roanoke, VA 24016-4955 2019-05-23
1063975282 Katherine Elizabeth Chafin Nurse Practitioner 3 Riverside Cir, Roanoke, VA 24016 2019-04-14
1932665544 Amy Marshall Nurse Practitioner 3 Riverside Cir, Roanoke, VA 24016 2019-02-19
1730652991 Sydney Elizabeth Garst Physician Assistant 3 Riverside Cir, Roanoke, VA 24016 2019-01-09
1306318084 Sarah Abey Nurse Practitioner 3 Riverside Cir, Roanoke, VA 24016 2018-12-19
1518439397 Justin James Gray Clinical Neuropsychologist 3 Riverside Cir, Roanoke, VA 24016-4955 2018-12-18
1992281877 Corinne O'shaughnessy Audiologist 3 Riverside Cir, Roanoke, VA 24016-4955 2018-07-13
1518453463 Feryal Nauman Student in an Organized Health Care Education/Training Program 3 Riverside Cir, Roanoke, VA 24016-4955 2018-07-03
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134758329 Davis Andrew Sugar Student in an Organized Health Care Education/Training Program 1 Riverside Circle, Suite 401, Roanoke, Va, 24016, Suite 401, Roanoke, VA 24016 2020-04-08
1356810659 Susanne Tribble Social Worker 202 Wells Ave Nw, Roanoke, VA 24016 2018-11-15
1801305818 Rena Lee Daye Driver 10 12th St. Sw, Roanoke, VA 24016 2017-09-21
1053841965 Christin Elledge Clark Nurse Practitioner 1234 Franklin Road, Roanoke, VA 24016 2017-06-13
1235685884 Helen Franck Physical Therapist 650 North Jefferson Street, Roanoke, VA 24016 2016-09-01
1457710238 Frances Marie Gaeta Social Worker 360 Campbell Ave, Roanoke, VA 24016 2016-02-22
1982073292 Sophie Mench Tranmer Physical Therapist 1421 Third St. Sw, Roanoke, VA 24016 2015-09-16
1982008181 National Counseling Group, Inc Psychiatry & Neurology 20 Walnut Avenue, Roanoke, VA 24016 2014-10-17
1366858342 National Counseling Group, Inc Psychiatry & Neurology 16 Walnut Avenue, Roanoke, VA 24016 2014-07-10
1427320878 Kristen L. Jagger Physical Medicine & Rehabilitation 1015 First Street Sw Suite 2, Roanoke, VA 24016 2012-02-01
Find all providers in zip 24016

Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952325102 Donald B Nolan Psychiatry & Neurology 3574 Peakwood Dr Sw, Roanoke, VA 24014-3109 2006-07-27
1043262553 John Gordon Burch Psychiatry & Neurology 4431 Starkey Rd, Roanoke, VA 24018-0612 2006-05-16
1619268554 Chinekwu Ozioma Anyanwu Psychiatry & Neurology 3 Riverside Cir, Dept of Neurology, Roanoke, VA 24016-4955 2011-04-26
1306135744 J Gordon Burch Md Pllc Psychiatry & Neurology 4461 Starkey Rd, Suite 101, Roanoke, VA 24018-0620 2011-04-06
1700949484 Della Christine Williams Psychiatry & Neurology 1906 Belleview Ave Se, Roanoke, VA 24014-1838 2006-12-18
1407946981 James Schmidley Psychiatry & Neurology 3 Riverside Circle, Roanoke, VA 24016 2006-10-13
1104831767 Stanley Clifford Schold Psychiatry & Neurology 3 Riverside Circle, Roanoke, VA 24016 2006-07-30
1326085028 Aashit Kanubhai Shah Psychiatry & Neurology 3 Riverside Cir, Roanoke, VA 24016 2006-06-01
1598717928 Roanoke Neurological Associates Psychiatry & Neurology 4461 Starkey Rd, Suite 101, Roanoke, VA 24018-0620 2006-05-16
1407808843 William Tingler II Psychiatry & Neurology 3 Riverside Cir, Roanoke, VA 24016-4955 2006-05-16
Find all providers in ROANOKE

Competitor

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City ROANOKE
Zip Code 24016

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Dataset Information

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.

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