Mal S Riddell, D.O. Clinic
NPI 1962634170 · Family Medicine Physician · Grenada, MS
Mal S Riddell, D.O. Clinic is a Family Medicine Physician organization in Grenada, MS (NPI 1962634170).
Provider details
- NPI number
- 1962634170
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mal Riddell, Owner(662) 226-6430
- License
- 08590 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-08-20
- Last updated
- 2017-01-06
Frequently asked questions
- What is Mal S Riddell, D.O. Clinic's NPI number?
- Mal S Riddell, D.O. Clinic's National Provider Identifier (NPI) is 1962634170, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mal S Riddell, D.O. Clinic?
- Mal S Riddell, D.O. Clinic is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Mal S Riddell, D.O. Clinic located?
- Mal S Riddell, D.O. Clinic's practice location on file with NPPES is 1300 Sunset Dr, Grenada, MS 38901-4086.
- What is Mal S Riddell, D.O. Clinic's phone number?
- The practice phone number listed in the NPPES registry for Mal S Riddell, D.O. Clinic is (662) 226-6430.
- Who is the authorized official for Mal S Riddell, D.O. Clinic?
- The authorized official listed on Mal S Riddell, D.O. Clinic's NPPES record is Mal Riddell, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mal S Riddell, D.O. Clinic's NPI active?
- Yes — Mal S Riddell, D.O. Clinic's NPI (1962634170) is active in the NPPES registry as of the last update on 2017-01-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.