M & M Medical Management

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

M & M MEDICAL MANAGEMENT

Practice address

1013 E Main St
Salem, VA 24153-4419

Phone

(540) 774-8686

Fax

(540) 774-0279

NPI assigned

Sep 8, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mitchell P Davis

Title

Owner

Phone

(540) 537-4007

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651708800000",
    "number": "1881363372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 W CARROLLTON AVE",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241532664",
            "telephone_number": "540-537-4007",
            "fax_number": "301-971-9521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 E MAIN ST",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241534419",
            "telephone_number": "540-774-8686",
            "fax_number": "540-774-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & M MEDICAL MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-08",
        "last_updated": "2022-05-05",
        "certification_date": "2022-04-29",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-537-4007"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard A Lynch, DDS
• Sawyer Benton Lynch
• Chelsie Ann Lyons, LPN
• Maureen E Lyons, PT
• Teresa Lyons
• Ashok Madan, MD
• Mazen I Madhoun, MD
• Karunasai Mahadevan, MD
• Meisam Mahmoudi, MD
• Andrew Maiolo, MD

• Primary Care Nurse Practitioner in Salem, VA
• Providers in Salem, VA by specialty
• Primary Care Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.