Robert E Mallard
M.D. | Pediatrics | Male
Robert E Mallard, M.D. is a Nashville, Tennessee based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Robert E Mallard is
2325 Crestmoor Rd Ste 101, Nashville, Tennessee - 37215-2027. He can be contacted on phone at
629-255-2216 and fax number 629-255-4080.
Robert E Mallard is a sole proprietor of his business.
NPI number (Unique professional ID) for Robert E Mallard is
1285625970 which was assigned by NPPES on 02 Nov, 2005 and it was last updated on 12 Dec, 2017.
Robert E Mallard license number is
MD10161 for Pediatrics (208000000X) in Tennessee.
Robert E Mallard is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Robert E Mallard basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Robert E Mallard |
|---|
| Credential : | M.D. |
|---|
| Gender : | Male |
|---|
Business Address:
Robert E Mallard address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2325 Crestmoor Rd Ste 101
Nashville, TN, 37215-2027
United States |
|---|
| Phone Number : | 629-255-2216 |
|---|
| Fax Number : | 629-255-4080 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1285625970 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 02 Nov, 2005 |
|---|
| Last Updated On : | 12 Dec, 2017 |
|---|
Medicare Participation:
Robert E Mallard participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 9032259957 |
|---|
| Medicare Enrollment ID : | I20091228000004 |
|---|
| Primary Specialty : | Pediatric Medicine |
|---|
| Medical School : | Vanderbilt University School Of Medicine |
|---|
| Graduation Year : | 1974 |
|---|
| Accepts Medicare? | Yes. Robert E Mallard accepts medicare insurance. |
|---|
Group Practice Association:
Robert E Mallard is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Robert E Mallard is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Heritage Medical Associates Pc | 4688651037 | 161 | 222 22nd Ave N
Nashville, TN - 372031852
Ph: 6292553486 | Yes |
| Heritage Medical Associates Pc | 4688651037 | 161 | 2325 Crestmoor Rd
Nashville, TN - 372152027
Ph: 6292552202 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Robert E Mallard are as mentioned. Primary taxonomy code for Robert E Mallard, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | MD10161 | TN |
Legacy Identifiers:
Other legacy medical identifiers of Robert E Mallard such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 3883358 | MEDICAID | TN | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 222 22nd Ave N
Nashville, TN, 37203-1852
United States |
|---|
| Phone Number : | 629-255-3486 |
|---|
Business Location:
Patients can refer following map for directions to
Robert E Mallard practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.