DR. MAE M COLEMAN (NPI# 1235195272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235195272 |
| Entity Type | Individual |
| Full Name | DR. MAE M COLEMAN |
| Credential | MD |
| Practice Address |
4201 Belfort Rd Jacksonville FL 32216-1431 |
| Mailing Address |
1500 Concord Ter Sunrise FL 33323-2815 |
| Practice Telephone | 9042963700 |
| Practice Fax Number | 9548580404 |
| Mailing Telephone | 8002433839 |
| Mailing Fax Number | 9548580404 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2014-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
ME85070 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 265061400 | 05 |
| Street Address |
4201 BELFORT RD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-1431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205823267 | Michael Gordon Maxwell | Emergency Medicine | 4201 Belfort Rd, Jacksonville, FL 32216-1431 | 2005-10-04 |
| 1285247411 | Victoria Potts | Anesthesiologist Assistant | 4201 Belfort Rd, Jacksonville, FL 32216-1431 | 2020-08-27 |
| 1003442005 | Yu-chun Li | Nurse Practitioner | 4201 Belfort Rd, Jacksonville, FL 32216-1431 | 2020-03-21 |
| 1265963680 | Tanner Miles | Emergency Medicine | 4201 Belfort Rd, Jacksonville, FL 32216-1431 | 2017-03-27 |
| 1437522638 | Shela Towanna Mainor | Physician Assistant | 4201 Belfort Rd, St. Vincent's Medical Center Southside, Jacksonville, FL 32216-1431 | 2015-11-10 |
| 1275914269 | Neonila Zhukivskyy | Internal Medicine | 4201 Belfort Rd, Jacksonville, FL 32216-1431 | 2015-06-15 |
| 1689063406 | Elite Hospitalist Group | Internal Medicine | 4201 Belfort Rd, Jacksonville, FL 32216-1431 | 2015-01-16 |
| 1689929903 | Lorilee Olmoguez | Pharmacist | 4201 Belfort Rd, Jacksonville, FL 32216-1431 | 2012-07-24 |
| 1518212547 | Happy Farouk Sadiek | Internal Medicine | 4201 Belfort Rd, Jacksonville, FL 32216-1431 | 2012-07-16 |
| 1285991802 | Kimberlie Stickney | Physician Assistant | 4201 Belfort Rd, Jacksonville, FL 32216-1431 | 2012-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| 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/certification - 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 |
|---|---|---|---|---|
| 1447209333 | Deborah Donlon | Pediatrics | 653-1 W 8th St # L16, Lrc, 3rd Floor, Jacksonville, FL 32209-6511 | 2006-05-08 |
| 1417266081 | Sfurti Nath | Pediatrics | 655 W 8th St, C-3, Jacksonville, FL 32209-6511 | 2010-09-30 |
| 1326368051 | Coastal Childrens Services, Pllc | Pediatrics | 317 Western Blvd, Jacksonville, NC 28546-6338 | 2010-06-04 |
| 1225358179 | Shalinkumar Pradipbhai Patel | Pediatrics | 655 W 8th St, Jacksonville, FL 32209-6511 | 2010-06-02 |
| 1770712390 | Sanket D Shah | Pediatrics | 653-1 W 8th St, Jacksonville, FL 32209-6511 | 2009-07-02 |
| 1922172691 | Catherine E Tsai | Pediatrics | 120 Memorial Dr, Jacksonville, NC 28546-6328 | 2006-11-17 |
| 1013929579 | Cynthia Marie Schultz | Pediatrics | 554 Keily Street, Bumed Centralized Credential and Privileging Direct, Jacksonville, FL 32212 | 2006-08-13 |
| 1932153673 | Madhur Mittal | Pediatrics | 118 Memorial Dr, Jacksonville, NC 28546-6328 | 2006-05-19 |
| 1821055633 | Arthur James Vaughn | Pediatrics | 4205 Belfort Rd, #4090, Jacksonville, FL 32216-1471 | 2006-04-26 |
| 1033172523 | Ronald P Carzoli Jr. | Pediatrics | 1800 Barrs St, St Vincent's Medical Center, Jacksonville, FL 32204-4704 | 2006-04-07 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
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| 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.