MONIQUE L MACKLEM (NPI# 1336230754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336230754 |
| Entity Type | Individual |
| Full Name | MONIQUE L MACKLEM |
| Credential | M.D. |
| Practice Address |
11507 South 42nd Street, Suite 101 Bellevue NE 68123 |
| Mailing Address |
2500 California Plaza Omaha NE 68178 |
| Practice Telephone | 4029557600 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 20076 | NE | Allopathic & Osteopathic Physicians |
| Street Address |
11507 SOUTH 42ND STREET, SUITE 101 |
| City | BELLEVUE |
| State | NE |
| Zip Code | 68123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482227 | Gloria Pettigrew-fletcher | Community Health Worker | 12432 A 36th St, C20, Bellevue, NE 68123 | 2020-03-13 |
| 1225480676 | Heidi Jean Mccoy | Dentist | 2110 Towne Centre Drive, Bellevue, NE 68123 | 2016-07-11 |
| 1538557442 | Mariam Abdelghany I | Physician Assistant | 2500 Bellevue Medical Center Drive, Bellevue, NE 68123 | 2014-12-30 |
| 1205243367 | Sara Johnson | Pharmacist | 3614 Twin Creeks Drive, Bellevue, NE 68123 | 2014-07-21 |
| 1174826747 | Francine Amy Drummond | Dentist | 1701 Independence Lane #22, Bellevue, NE 68123 | 2010-12-21 |
| 1053509588 | Dunlow Orthodontics, P.C. | Dentist | 2219 Capehart Road, Suite 102, Bellevue, NE 68123 | 2007-10-10 |
| 1801911870 | Michelle Lynn Gaeth | Dentist | 11536 S. 31st St., Bellevue, NE 68123 | 2007-03-20 |
| 1386789832 | Mary Monique Rotert | Psychologist | 3308 Samson Way Road, Suite 211, Bellevue, NE 68123 | 2007-02-21 |
| 1316084098 | Kevin B Jones | Family Medicine | 3308 Samson Way Ste 102, Bellevue, NE 68123 | 2007-01-31 |
| 1467529727 | Nebraska Medical Center | Pharmacy | 2510 Bellevue Medical Center Drive, Suite 100, Bellevue, NE 68123 | 2006-11-29 |
| Find all providers in zip 68123 | ||||
| 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 |
|---|---|---|---|---|
| 1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
| 1154782050 | Sarah Elizabeth Strandjord | Pediatrics | 2475 140th Ave Ne, Bellevue, WA 98005-1892 | 2016-03-19 |
| 1568753762 | David George Reigel | Pediatrics | 15247 Ne 6th St, Bellevue, WA 98007-5013 | 2011-04-22 |
| 1689828345 | Cynthia D Bader | Pediatrics | 14711 Ne 29th Pl, Suite #255, Bellevue, WA 98007-7666 | 2008-11-07 |
| 1336310432 | Ronald Rager | Pediatrics | 362 Lincoln Ave, Bellevue, PA 15202-3756 | 2008-03-17 |
| 1447478938 | Marsha Alexis Chenoweth | Pediatrics | 1601 114th Ave Se Ste 180, Bellevue, WA 98004-6955 | 2007-04-23 |
| 1013066315 | Malinda J Bender | Pediatrics | 4802 Shannon Dr, Bellevue, NE 68133-4711 | 2007-01-09 |
| 1477624286 | Pediatric Associates, Inc., P.s. Dba Allegro Pediatrics | Pediatrics | 2475 140th Ave. Ne. Building C, Bellevue, WA 98005 | 2006-11-13 |
| 1891897286 | Gayle E Thuot | Pediatrics | 13451 Se 36th, Group Health Cooperative Factoria Clinic, Bellevue, WA 98006 | 2006-09-05 |
| 1427164938 | Pooja Sarin Tandon | Pediatrics | Pediatric Associates, 2700 Northup Way, Bellevue, WA 98004 | 2006-08-21 |
| Find all providers in BELLEVUE | ||||
Please comment or provide details below to improve the information on MONIQUE L MACKLEM.
| 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.