MAYFIELD MEDICAL GROUP LLC (NPI# 1063508125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063508125 |
| Entity Type | Organization |
| Organization Name | MAYFIELD MEDICAL GROUP LLC |
| Practice Address |
16 North Broadway Suite Lmg White Plains NY 10601 |
| Practice Telephone | 9146861848 |
| Practice Fax Number | 9143970001 |
| Mailing Telephone | 9146861848 |
| Mailing Fax Number | 9143970001 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MICHELE LINDA LEE BAILEY (GENERAL PARTNER) |
| Authorized Official Telephone | 9146861848 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Street Address |
16 NORTH BROADWAY SUITE LMG |
| City | WHITE PLAINS |
| State | NY |
| Zip Code | 10601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265089403 | Floras Vision Inc | Eyewear Supplier (Equipment, not the service) | Galleria At White Plains, 100 Main Street, Suite 395, White Plains, NY 10601 | 2019-08-22 |
| 1154988988 | Shemel Jackson | Registered Nurse | Clover Health Services, 75,south Broadway, White Plains, NY 10601 | 2019-05-28 |
| 1720430713 | Gabriel Botero Jr. | Social Worker | White Plains Vet Center, 300 Hamilton Avenue, 1st Floor, Suite C, White Plains, NY 10601 | 2016-07-01 |
| 1538526421 | Edwige Sunshine Lherisson | Registered Nurse | 79 East Post Rd, White Plains, NY 10601 | 2016-01-22 |
| 1174995005 | Dean Dekranis | Social Worker | 33 Barker Avenue 3a, White Plains, NY 10601 | 2015-10-30 |
| 1922482512 | Family Ties of Westchester, Inc. | Community/Behavioral Health | 112 East Post Road, 3rd Floor, White Plains, NY 10601 | 2015-07-14 |
| 1609257955 | Marlissa Fondechene | Chiropractor | 199 Main St Ste 608, White Plains, NY 10601 | 2015-06-12 |
| 1184059933 | Kelly Brooke Graling | Psychologist | 1 N Broadway Ste 704, White Plains, NY 10601 | 2013-09-12 |
| 1750651469 | John A. Coleman School | Local Education Agency (LEA) | 2 Canfield Avenue, Apt #832, White Plains, NY 10601 | 2012-01-11 |
| 1750677118 | Haven Lindsay Caldwell | Internal Medicine | Cancer and Blood Medical Services of Ny, PC, 2-4 Longview Avenue, White Plains, NY 10601 | 2011-06-23 |
| Find all providers in zip 10601 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255888400 | Joyce John | Pediatrics | 42 Balmoral Cres, White Plains, NY 10607-2202 | 2016-09-06 |
| 1346476116 | George Seymour Goldstein | Pediatrics | 6 Pebble Beach Ln, White Plains, NY 10605-5118 | 2009-06-06 |
| 1275706160 | Erin Patricia Kelleher | Pediatrics | 222 Westchester Ave Ste 202, White Plains, NY 10604-2926 | 2008-04-11 |
| 1841481363 | Karen Leslie Southwick | Pediatrics | 134 Court St, White Plains, NY 10601-4802 | 2007-08-08 |
| 1699982678 | Gail Michele Booker | Pediatrics | 1203 Pondside Dr, White Plains, NY 10607-1363 | 2007-05-17 |
| 1326184060 | Gloria Patricia Avvocato | Pediatrics | 222 Westchester Avenue Suite 202, White Plains, NY 10604 | 2007-01-29 |
| 1245308071 | Greenburgh Health Center | Pediatrics | 330 Tarrytown Rd, White Plains, NY 10607-1424 | 2006-12-01 |
| 1447346408 | Michele Linda Lee Bailey Ingram | Pediatrics | 16 N Broadway, Suite Lmg Mayfield Medical Group LLC, White Plains, NY 10601 | 2006-10-05 |
| 1073613568 | Aziza C Alam | Pediatrics | 4255 Altamont Place, Suite 301, White Plains, MD 20695 | 2006-09-24 |
| 1679580237 | Kristi Bengtson Machemer | Pediatrics | 4255 Altamonte Place, Suite 301, White Plains, MD 20695 | 2006-08-03 |
| Find all providers in WHITE PLAINS | ||||
| City | WHITE PLAINS |
| Zip Code | 10601 |
Please comment or provide details below to improve the information on MAYFIELD MEDICAL GROUP LLC.
| 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.