Provider Demographics
NPI:1043394240
Name:SMALLFIELD, MELISSA COLLINS (MD)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:COLLINS
Last Name:SMALLFIELD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:MELISSA
Other - Middle Name:LAURA
Other - Last Name:COLLINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 91734
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23298-0510
Mailing Address - Country:US
Mailing Address - Phone:804-358-6100
Mailing Address - Fax:804-342-7619
Practice Address - Street 1:1250 E MARSHALL STREET
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298-0510
Practice Address - Country:US
Practice Address - Phone:804-828-7626
Practice Address - Fax:804-828-7710
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2022-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00026430207RC0000X
VA0101252497207RC0000X, 207RA0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0001XAllopathic & Osteopathic PhysiciansInternal MedicineAdvanced Heart Failure and Transplant Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease