DR. SIMON ALEXANDER MALLAL (NPI# 1639599806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639599806 |
| Entity Type | Individual |
| Full Name | DR. SIMON ALEXANDER MALLAL |
| Credential | MBBS |
| Practice Address |
1161 21st Ave S S2105 Medical Center North, Vanderbilt Medical Center Nashville TN 37232-2582 |
| Practice Telephone | 6153222035 |
| Practice Fax Number | 6153436160 |
| Mailing Telephone | 6153222035 |
| Mailing Fax Number | 6153436160 |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2020-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207KI0005X |
Allergy & Immunology Specialization: Clinical & Laboratory Immunology |
51293 | TN | Allopathic & Osteopathic Physicians |
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
MD51293 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
1161 21ST AVE S S2105 MEDICAL CENTER NORTH, VANDERBILT MEDICAL CENTER |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37232-2582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558369280 | Steven J Eskind | Surgery | 1161 21st Ave S, D-4314 Medical Center North, Nashville, TN 37232-2730 | 2005-07-07 |
| 1659972479 | Keaton Allmaras | Nurse Practitioner | 1161 21st Ave S, D2106 Mcn, Nashville, TN 37232-0011 | 2020-11-06 |
| 1932720786 | Andrew William Kirk | Student in an Organized Health Care Education/Training Program | 1161 21st Ave S, Nashville, TN 37232-0011 | 2020-05-04 |
| 1497375828 | Michael Longo | Student in an Organized Health Care Education/Training Program | 1161 21st Ave S, Nashville, TN 37232-0012 | 2020-04-27 |
| 1760002729 | Veronica So Fox | Student in an Organized Health Care Education/Training Program | 1161 21st Ave S, B1124 Mcn, Nashville, TN 37232-2521 | 2020-04-20 |
| 1356961445 | Noah Lubin | Student in an Organized Health Care Education/Training Program | 1161 21st Ave S, Nashville, TN 37232-0011 | 2020-04-20 |
| 1104446244 | Dean Holliday Jr. | Student in an Organized Health Care Education/Training Program | 1161 21st Ave S, Nashville, TN 37232-2561 | 2020-04-18 |
| 1699395939 | Tessa Marie Delaney | Student in an Organized Health Care Education/Training Program | 1161 21st Ave S, Nashville, TN 37232-0011 | 2020-04-16 |
| 1457970915 | Nicholas Spenser Abramson | Student in an Organized Health Care Education/Training Program | 1161 21st Ave S, Nashville, TN 37232-0011 | 2020-04-14 |
| 1245859875 | Evan Thomas | Student in an Organized Health Care Education/Training Program | 1161 21st Ave S, Nashville, TN 37232-0011 | 2020-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831717578 | Kathleen Elizabeth Quick | Audiologist | 1215 21st Avenue South, Mce, South Tower, 9th Floor, Nashville, TN 37232 | 2020-07-09 |
| 1609497700 | Alissar El Chediak | Student in an Organized Health Care Education/Training Program | 1161 21st Ave South, Mcn S3307, Division of Nephrology, Nashville, TN 37232 | 2020-04-29 |
| 1386209690 | David William John Armstrong | Student in an Organized Health Care Education/Training Program | 1215 21st Ave S 5th Floor, Nashville, TN 37232 | 2019-05-02 |
| 1063075331 | Margaret Elizabeth Galloway | Student in an Organized Health Care Education/Training Program | Vanderbilt Univ. Medical Center 2301 Vuh, Office of Educational Affairs, Dept. of Anesthesiol, Nashville, TN 37232 | 2019-04-22 |
| 1457832420 | Jill Murphree | Dietitian, Registered | 1211 21st Avenue, Medical Arts Building Ste 514, Nashville, TN 37232 | 2018-08-27 |
| 1861980757 | Ryan Chaliff | Student in an Organized Health Care Education/Training Program | Department of Oral & Maxillofacial Surgery, T-4323a Medical Center North 1161 21st Avenue South, Nashville, TN 37232 | 2018-04-25 |
| 1023505385 | Nelly-ange Kontchou | Student in an Organized Health Care Education/Training Program | 1161 21st Avenue South, Medical Center N, Suite Ccc-4312, Nashville, TN 37232 | 2018-04-21 |
| 1396232377 | Katie Lee Ford | Student in an Organized Health Care Education/Training Program | 2200 Children's Way, 8161 Dot, Nashville, TN 37232 | 2018-04-16 |
| 1073015814 | Nicole Sapone Mandrycky | Nurse Practitioner | 1161 21st Ave. S, Mcn D2106, Nashville, TN 37232 | 2018-03-07 |
| 1992220982 | Alanna Salituro | Physical Therapist | 1215 21st Ave. S., Medical Center East, South Tower, Voi, Nashville, NJ 37232 | 2017-08-10 |
| Find all providers in zip 37232 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831235845 | John Robert Koethe | Internal Medicine | Division of Infectious Diseases Vumc, 1161 21st Avenue South, A2200-mcn, Nashville, TN 37232-2582 | 2007-01-29 |
| 1326085747 | Metropolitan Interdenominational Church | Internal Medicine | 1223 9th Ave N, Nashville, TN 37208-2552 | 2006-06-02 |
| 1740252642 | Gerard Y Shu Tangyie | Internal Medicine | 1804 State St, Nashville, TN 37203-2206 | 2006-02-03 |
| 1720079114 | Jayesh Ambubhai Patel | Internal Medicine | 3443 Dickerson Pike Ste 210, Nashville, TN 37207-2522 | 2005-11-03 |
| 1841680162 | Toni Hall | Internal Medicine | 1005 Dr Db Todd Jr Blvd, Nashville, TN 37208 | 2015-01-24 |
| 1457794364 | Catherine Le | Internal Medicine | 1211 Medical Center Dr, Nashville, TN 37232-0004 | 2013-04-10 |
| 1700105319 | Kevin Christopher Dee | Internal Medicine | 3601 The Vanderbilt Clinic, Nashville, TN 37232-5100 | 2010-05-21 |
| 1790001410 | Katie Davis White | Internal Medicine | 1161 21st Ave S, D3100 Mcn, Nashville, TN 37232-2358 | 2010-04-20 |
| 1851617021 | Matthew Hutchins Greene | Internal Medicine | 1211 21st Avenue South, 102a Medical Arts Building, Nashville, TN 37212 | 2010-04-13 |
| 1205166436 | Nashville Infectious Disease Specialists PC | Internal Medicine | 2001 Charlotte Ave, Suite 101, Nashville, TN 37203-2032 | 2010-01-11 |
| Find all providers in NASHVILLE | ||||
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| 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.