Mallory N Sandridge (NPI# 1861854572, PAC ID# 9739473976) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1861854572 |
| PAC ID by PECOS | 9739473976 |
| Professional Enrollment ID | I20160810001576 |
| Full Name | Mallory N Sandridge |
| Organization Legal Name | BON SECOURS - RICHMOND COMMUNITY HOSPITAL, INCORPORATED |
| Address |
5875 Bremo Rd Suite 209 Richmond VA 23226-1934 |
| Phone Number | 8042877804 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3274425459 |
| Number of Group Practice Members | 26 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490136 | BON SECOURS ST FRANCIS MEDICAL CENTER |
| 490059 | BON SECOURS ST MARYS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5875 Bremo Rd, Suite 209, Richmond, VA 23226-1934 | 8042877804 | BON SECOURS - RICHMOND COMMUNITY HOSPITAL, INCORPORATED |
| Organization Legal Name | BON SECOURS - RICHMOND COMMUNITY HOSPITAL, INCORPORATED |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| German Herrera | Hematology/oncology | Bon Secours - Richmond Community Hospital, Incorporated | 101 Harris Rd, Kilmarnock, VA 22482-3880 |
| Ashley H Sandridge | Nurse Practitioner | Bon Secours - Richmond Community Hospital, Incorporated | 1510 N 28th St, Suite 110, Richmond, VA 23223-5311 |
| Dianne E Wall | Nurse Practitioner | Bon Secours - Richmond Community Hospital, Incorporated | 5875 Bremo Rd, Suite G7, Richmond, VA 23226-1934 |
| Charles M Jones Iii | Gynecological Oncology | Bon Secours - Richmond Community Hospital, Incorporated | 5875 Bremo Rd, Suite G7, Richmond, VA 23226-1934 |
| Mary Fletcher Baker | Nurse Practitioner | Bon Secours - Richmond Community Hospital, Incorporated | 5875 Bremo Rd, Suite 209, Richmond, VA 23226-1934 |
| April G Morris | Nurse Practitioner | Bon Secours - Richmond Community Hospital, Incorporated | 5875 Bremo Rd, Richmond, VA 23226-1934 |
| Sunny U Kim | Nurse Practitioner | Bon Secours - Richmond Community Hospital, Incorporated | 5875 Bremo Rd, Richmond, VA 23226-1934 |
| Street Address |
5875 BREMO RD SUITE 209 |
| City | RICHMOND |
| State | VA |
| Zip | 23226-1934 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jiho J Han | Interventional Cardiology | Virginia Cardiovascular Specialists | 5875 Bremo Rd, Suite 505, Richmond, VA 23226-1928 |
| Matthew J Chung | Interventional Cardiology | Virginia Cardiovascular Specialists | 5875 Bremo Rd, Suite 505, Richmond, VA 23226-1928 |
| James Norman Atkins | Medical Oncology | Bon Secours-richmond Community Hospital Incorporated | 5875 Bremo Rd, Suite 209, Richmond, VA 23226-1934 |
| Steven M Fiser | Cardiac Surgery | Bon Secours St Marys Hospital of Richmond Inc | 5875 Bremo Rd, Suite 400, Richmond, VA 23226-1928 |
| Mugdha Agrawal | Rheumatology | Bon Secours-richmond Community Hospital Incorporated | 5875 Bremo Rd, Richmond, VA 23226-1934 |
| Katherine Lietz | Cardiovascular Disease (cardiology) | Bon Secours St Marys Hospital of Richmond Inc | 5875 Bremo Rd, Suite 400, Richmond, VA 23226-1928 |
| Erin B Perlmutter | Nurse Practitioner | Bon Secours St Marys Hospital of Richmond Inc | 5875 Bremo Rd, Suite 400, Richmond, VA 23226-1928 |
| Sean J Huiras | Physician Assistant | Bon Secours-richmond Community Hospital Incorporated | 5875 Bremo Rd, Richmond, VA 23226-1934 |
| Ronald B David | Pediatric Medicine | 5875 Bremo Rd, Suite 700, Richmond, VA 23226-1928 | |
| Sarah K Agee | Nurse Practitioner | Bon Secours-richmond Community Hospital Incorporated | 5875 Bremo Rd, Suite 209, Richmond, VA 23226-1934 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah R Demm | Clinical Psychologist | Greater Virginia Medical Group | St Mary's Hospital, Richmond, VA 23226 |
| Alan F Kleinkopf | Psychologist, Clinical | 5315 Cutshaw Ave, Richmond, VA 23226-1105 | |
| Paige T Obrien | Clinical Social Worker | Susan Archer, Inc. | 1007 Peachtree Blvd, Richmond, VA 23226-1136 |
| Terence D Reaves | Clinical Social Worker | Susan Archer, Inc. | 1007 Peachtree Blvd, Richmond, VA 23226-1136 |
| Robert Williams Martin | Clinical Social Worker | Susan Archer, Inc. | 1007 Peachtree Blvd, Richmond, VA 23226-1136 |
| Susan M Archer | Clinical Social Worker | Susan Archer, Inc. | 1007 Peachtree Blvd, Richmond, VA 23226-1136 |
| Monroe E Harris Jr. | Maxillofacial Surgery | Niamtu and Alexander Oral and Maxillofacial Surgery PC | 5224 Monument Ave, Richmond, VA 23226-1405 |
| Neil Agnihotri | Oral Surgery | Niamtu and Alexander Oral and Maxillofacial Surgery PC | 5224 Monument Ave, Richmond, VA 23226-1405 |
| William D Dymon | Maxillofacial Surgery | Niamtu and Alexander Oral and Maxillofacial Surgery PC | 5224 Monument Ave, Richmond, VA 23226-1405 |
| Thomas B Leecost | Podiatry | 5500 Monument Ave, Suite E, Richmond, VA 23226-1452 | |
| Find all physicians in zip 23226 | |||
| City | RICHMOND |
| Zip Code | 23226 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | RICHMOND + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Mallory N Sandridge.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.