DR. MACI MCDERMOTT (NPI# 1093158818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093158818 |
| Entity Type | Individual |
| Full Name | DR. MACI MCDERMOTT |
| Credential | M.D, |
| Practice Address |
3606 Maclay Blvd Ste 102 Tallahassee FL 32312 |
| Mailing Address |
3606 Maclay Blvd. Ste 102 Tallahassee FL 32312 |
| Practice Telephone | 8508771162 |
| Practice Fax Number | 8506715009 |
| Mailing Telephone | 8508771162 |
| Mailing Fax Number | 8506715009 |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2018-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ME129263 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
3606 MACLAY BLVD STE 102 |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336229038 | William P Simmons | Pediatrics | 3606 Maclay Blvd, Suite 102, Tallahassee, FL 32312 | 2006-10-17 |
| 1740467521 | Anna Thomas Koeppel | Pediatrics | 3606 Maclay Blvd, Suite 102, Tallahassee, FL 32312 | 2008-01-24 |
| 1912070756 | North Florida Pediatric Assoc., Pa | Pediatrics | 3606 Maclay Blvd, Suite 102, Tallahassee, FL 32312 | 2006-11-17 |
| 1427121250 | Frank C Walker Jr. | Pediatrics | 3606 Maclay Blvd, Suite 102, Tallahassee, FL 32312 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184274235 | Jennifer Stinson | Technician | 10014 Journeys En, Tallahassee, FL 32312 | 2019-09-19 |
| 1528581766 | Amanda Michele Chandler | Counselor | 2634 Capital Circle N.e., Tallahassee, FL 32312 | 2017-07-19 |
| 1902330871 | Therese Melendez | Recreation Therapist | 9346 Buck Haven Trl, Tallahassee, FL 32312 | 2017-04-17 |
| 1104373240 | Comfortable Care Dental Health Professionals, Pa | Dentist | 5442 Thomasville Rd, Suite 1, Tallahassee, FL 32312 | 2016-09-07 |
| 1568819753 | Kaydi Blackstock | Specialist/Technologist | 7200 Lawton Chiles Ln, Tallahassee, FL 32312 | 2016-05-18 |
| 1275994212 | Tiffany Coleman | Pharmacist | 6680 Thomasville Road, Tallahassee, FL 32312 | 2016-03-18 |
| 1659743235 | Psychological Center | Community/Behavioral Health | 8819 Minnow Creek Dr, Tallahassee, FL 32312 | 2015-10-22 |
| 1780098723 | Andrew Bellebaum | Dentist | 554 Keily Street Bureau of Med and Sur, Centralized Credentials and Privilegeing, Jacksonville, FL 32312 | 2014-06-18 |
| 1851714299 | Hf Acupuncture and Chinese Medicine Center LLC | Acupuncturist | 1282 Timberlane Rd, Tallahassee, FL 32312 | 2014-01-21 |
| 1629326061 | Ana E Raynolds | Speech-Language Pathologist | 3457 Cedarwood Trail, Tallahassee, FL 32312 | 2012-08-15 |
| Find all providers in zip 32312 | ||||
| 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 |
|---|---|---|---|---|
| 1912322215 | Playbig Therapy & Recreation Zone, LLC | Pediatrics | 4500 W Shannon Lakes Dr Ste 3, Tallahassee, FL 32309-2240 | 2014-02-23 |
| 1801226337 | Shairi R. Turner-davis | Pediatrics | 1621 Executive Center Dr, Ashley Building, Tallahassee, FL 32399-0001 | 2013-11-19 |
| 1750645255 | Aisha Donine Bailey | Pediatrics | 1215 Lee Ave, Tallahassee, FL 32303-5850 | 2012-06-28 |
| 1972869584 | Sarah Mike Alvarez | Pediatrics | 3606 Maclay Blvd S Ste 102, Tallahassee, FL 32312-1277 | 2012-04-09 |
| 1306070396 | Raquel Marguerite Mitchell | Pediatrics | 1205 Marion Ave., Tallahassee, FL 32308 | 2009-05-06 |
| 1336229038 | William P Simmons | Pediatrics | 3606 Maclay Blvd, Suite 102, Tallahassee, FL 32312 | 2006-10-17 |
| 1982714507 | Alfreda Douglane Blackshear | Pediatrics | 1215 Lee Avenue, Tallahassee, FL 32303 | 2006-08-30 |
| 1871501270 | Michael Wilhoit | Pediatrics | 1132 Lee Ave, Tallahassee, FL 32303-6508 | 2006-08-03 |
| 1952330748 | Kennessa Hugger | Pediatrics | 2623 Centennial Blvd., Ste. 103, Tallahassee, FL 32308 | 2006-07-02 |
| 1225088701 | Susan Cross | Pediatrics | 1205 Marion Ave, Tallahassee, FL 32303-6513 | 2006-05-12 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32312 |
Please comment or provide details below to improve the information on DR. MACI MCDERMOTT.
| 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.