CHAD AARON MACKMAN


Address: 601 E Rollins St, Orlando, FL 32803-1248
Phone: 4079750410

CHAD AARON MACKMAN (NPI# 1053553966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053553966
Entity Type Individual
Full Name CHAD AARON MACKMAN
Credential MD
Practice Address 601 E Rollins St
Orlando
FL 32803-1248
Practice Telephone 4079750410
Practice Fax Number 4079750411
Mailing Telephone 4079750410
Mailing Fax Number 4079750411
Enumeration Date 2009-03-24
Last Update Date 2019-10-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2080P0202X Pediatrics
Specialization: Pediatric Cardiology
R2913 TX Allopathic & Osteopathic Physicians
N 2080P0202X Pediatrics
Specialization: Pediatric Cardiology
56470-20 WI Allopathic & Osteopathic Physicians
Y 2080P0203X Pediatrics
Specialization: Pediatric Critical Care Medicine
ME140887 FL Allopathic & Osteopathic Physicians
N 2080P0203X Pediatrics
Specialization: Pediatric Critical Care Medicine
56470 WI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI 10535553966 05

Office Location

Street Address 601 E ROLLINS ST
City ORLANDO
State FL
Zip Code 32803-1248

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295739522 David Kos Radiology 601 E Rollins St, Orlando, FL 32803-1248 2005-05-23
1063013845 Samuel Acosta Nurse Practitioner 601 E Rollins St, Orlando, FL 32803-1248 2020-11-06
1972110641 Laura Nazario Nurse Practitioner 601 E Rollins St, Orlando, FL 32803-1248 2020-09-28
1710593561 Ambber Marie Harms Advanced Practice Midwife 601 E Rollins St, Orlando, FL 32803-1248 2020-09-17
1598375628 Brent Windrow Registered Nurse 601 E Rollins St, Orlando, FL 32803-1248 2020-08-04
1689284929 Brianne Beacham Anesthesiology 601 E Rollins St, Orlando, FL 32803-1248 2020-08-02
1205444569 Jamie Matthew Litteral Pharmacist 601 E Rollins St, Orlando, FL 32803-1248 2020-07-22
1639794761 Idna Angervil Registered Nurse 601 E Rollins St, Orlando, FL 32803-1248 2020-06-15
1316567597 Bryn Nadeau Occupational Therapist 601 E Rollins St, Orlando, FL 32803-1248 2020-04-17
1457971665 Brooke Ashley Koopman Registered Nurse 601 E Rollins St, Orlando, FL 32803-1248 2020-04-17
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255952636 Laiza Souza Tanner Technician 500 E Rollins St, Orlando, FL 32803 2020-04-27
1407415342 Betty Carrol Marriage & Family Therapist 1516 E Colonial Dr Ste 100, Orlando, FL 32803 2019-06-12
1326606047 Anthony Balingit Physical Therapy Assistant 1870 Aloma Avenue, Orlando, FL 32803 2019-05-29
1396234795 Natasha Le Morvan Technician/Technologist 1364 Ferris Ave, Orlando, FL 32803 2018-05-02
1306365796 Sarah E Fischer Nurse Practitioner Adventhealth Orlando, 601 E Rollins St, Orlando, FL 32803 2017-09-17
1710404249 Emilia's Direct Care Agency Community/Behavioral Health 3218 E Colonial Dr Rm 118, Orlando, FL 32803 2017-08-25
1760907620 Kalie Brianne Morris Speech-Language Pathologist 1120 Portland Ave Unit 7, Orlando, FL 32803 2017-08-11
1972024271 Tatiana Ungredda Psychologist 5201 Raymond St Ste 424, Orlando, FL 32803 2017-06-28
1063942662 Michael Thomas Licensed Practical Nurse 101 South Bumby Ave, E11, Orlando, FL 32803 2017-06-15
1598209249 Danielle Marin Behavioral Analyst 2807 Edgewater Dr, Orlando, FL 32803 2016-12-15
Find all providers in zip 32803

Taxonomy Information

Taxonomy Code 2080P0203X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Critical Care Medicine

Taxonomy Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861577256 Mark Swanson Pediatrics 92 West Miller Street, Orlando, FL 32806 2006-10-26
1013024785 Mary Farrell Pediatrics 1814 Lucerne Terrace, Suite C, Orlando, FL 32806 2006-08-25
1003885104 Adalberto Torres Pediatrics 1717 S Orange St, Ste 100, Nemours Childrens Clinic, Orlando, FL 32806-2946 2006-03-14
1700496171 Meghan Alexandra Moberly Pediatrics 6535 Nemours Pkwy, Orlando, FL 32827-7884 2020-07-31
1457993933 Britni Norris Pediatrics 92 W Miller St, Orlando, FL 32806-2036 2019-10-16
1881119667 Tammy J Bectel Pediatrics 2501 N Orange Ave Ste 310, Orlando, FL 32804-4642 2017-08-14
1932503349 Alberto Marante Pediatrics 601 E Rollins St, Orlando, FL 32803-1248 2014-10-14
1104246545 Shannon Renee Faulkinberry Pediatrics 92 W Miller St, Orlando, FL 32806-2032 2014-04-24
1891127965 Jose Alfonso Decamps-solano Pediatrics 92 W Miller St, Orlando, FL 32806-2032 2013-07-31
1790122216 Jui Shah Pediatrics 86 W Underwood St, Suite 202, Orlando, FL 32806-1110 2013-05-23
Find all providers in ORLANDO

Competitor

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City ORLANDO
Zip Code 32803

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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