DR. MARY LIM (NPI# 1669431060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669431060 |
| Entity Type | Individual |
| Full Name | DR. MARY LIM |
| Credential | M.D. |
| Practice Address |
655 W 8th St Ufjp Neonatology Jacksonville FL 32209-6511 |
| Mailing Address |
Po Box 44008 Ufjp Provider Enrollment Jacksonville FL 32231-4008 |
| Practice Telephone | 9042445100 |
| Practice Fax Number | 9042444301 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2011-12-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | ME43795 | FL | Allopathic & Osteopathic Physicians |
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
ME43795 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RAILROAD MEDICARE | 370007172 | 01 |
| GA | 000291805B | 05 | |
| FL | 3798232-00 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710314844 | Mary Lim | Pharmacist | 17901 Hwy 213, Oregon City, OR 97045-0000 | 2013-10-03 |
| 1609212208 | Mary Jia Ling Lim | Ophthalmology | 35 Michigan St Ne Ste 5101, Grand Rapids, MI 49503-2529 | 2013-05-22 |
| 1316272446 | Mary Hyo Lim | Acupuncturist | 66313 Buena Vista Ave, Desert Hot Springs, CA 92240-3960 | 2009-10-07 |
| 1013249531 | Mary Lim I | Pharmacist | 1338 Broadway, Hewlett, NY 11557 | 2010-02-09 |
| 1427220482 | Mary Sy Lim | Dentist | 645 Sweetwater Rd, Spring Valley, CA 91977-5628 | 2008-03-31 |
| 1659459642 | Mary Eugenie Lim | Pediatrics | 6001 Norris Canyon Rd, Rm. 142, San Ramon, CA 94583-5400 | 2006-11-01 |
| Street Address |
655 W 8TH ST UFJP NEONATOLOGY |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32209-6511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770586828 | Ghaith Mitri | Internal Medicine | 655 W 8th St, Ufjp Rheumatology Dept., Jacksonville, FL 32209-6511 | 2005-05-23 |
| 1386242253 | Keivan Tavakoli | General Practice | 655 W 8th St, Jacksonville, FL 32209-6511 | 2020-10-13 |
| 1013522473 | Jacquelyn Hill | Nurse Practitioner | 655 W 8th St, Jacksonville, FL 32209-6511 | 2020-09-12 |
| 1346854346 | Whitney O'brien | Dietitian, Registered | 655 W 8th St, Jacksonville, FL 32209-6511 | 2020-09-07 |
| 1548873318 | Kelly Huston | Pharmacist | 655 W 8th St, Jacksonville, FL 32209-6511 | 2020-08-31 |
| 1427669423 | Dianna Louise Tompkins | Registered Nurse | 655 W 8th St, Jacksonville, FL 32209-6511 | 2020-08-12 |
| 1235748021 | Treasure Victoria Bright | Pharmacist | 655 W 8th St, Jacksonville, FL 32209-6511 | 2020-07-28 |
| 1003424656 | Christopher Fuller | Physical Therapist | 655 W 8th St, Jacksonville, FL 32209-6511 | 2020-07-20 |
| 1922616051 | Katie Reel | Pharmacist | 655 W 8th St, Jacksonville, FL 32209-6511 | 2020-07-15 |
| 1437767688 | Bethany Pope | Pharmacist | 655 W 8th St, Jacksonville, FL 32209-6511 | 2020-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710506183 | Hayley M Shade | Student in an Organized Health Care Education/Training Program | 655 8th St. W., 4th Floor, Lrc 653-1 West 8th Street, L18, Jacksonville, FL 32209 | 2020-04-15 |
| 1407484629 | Micah Christine Turpeau | Student in an Organized Health Care Education/Training Program | 580 W. 8th St., Tower II, Suite 6005, Jacksonville, FL 32209 | 2020-04-01 |
| 1730716366 | Nikki Javia | Student in an Organized Health Care Education/Training Program | 653-1 W 8th St, Fl 4, Lrc Box L16, Jacksonville, FL 32209 | 2020-03-24 |
| 1336776061 | Samuel Kamoroff | Student in an Organized Health Care Education/Training Program | 653-1 West 8th Street, 4th Floor, Lrc Box L16, Jacksonville, FL 32209 | 2020-03-24 |
| 1376194092 | Donald Wayne Johnson Jr. | Pharmacist | Uf Health Jacksonville, 655 West 8th Street, Jacksonville, FL 32209 | 2019-09-24 |
| 1871141838 | Anton Daran Armstrong | Counselor | 921 N. Davis St. Bldg. B, Suite 350, Jacksonville, FL 32209 | 2019-09-03 |
| 1295296499 | Christian King | Student in an Organized Health Care Education/Training Program | 580 W. 8th St., Tower II, Suite 6005, Jacksonville, FL 32209 | 2019-03-29 |
| 1013478403 | David William Barton | Orthopaedic Surgery | 655 W 8th St, Box C-126, Jacksonville, FL 32209 | 2019-03-27 |
| 1912497108 | Lisa Jordan | Adult Companion | 1515 W 31st St, Jacksonville, FL 32209 | 2018-05-14 |
| 1275020968 | Eloisa Anne Ello-esma | Nurse Practitioner | W. 8th Street, Jacksonville, FL 32209 | 2018-04-18 |
| Find all providers in zip 32209 | ||||
| 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 |
| 1235195272 | Mae M Coleman | Pediatrics | 4201 Belfort Rd, Jacksonville, FL 32216-1431 | 2006-04-26 |
| 1821055633 | Arthur James Vaughn | Pediatrics | 4205 Belfort Rd, #4090, Jacksonville, FL 32216-1471 | 2006-04-26 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32209 |
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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.