DR. FREDERIC TAYLOR MAUCK


Address: 12 Porter Rd, Farmington, CT 06032-2221
Phone: 8606772474

DR. FREDERIC TAYLOR MAUCK (NPI# 1497094924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497094924
Entity Type Individual
Full Name DR. FREDERIC TAYLOR MAUCK
Credential M.D.
Practice Address 12 Porter Rd
Farmington
CT 06032-2221
Mailing Address 12 Porter Road
Farmington
CT 06032
Practice Telephone 8606772474
Mailing Telephone 8606772474
Enumeration Date 2013-02-04
Last Update Date 2013-02-06
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 011113 CT Allopathic & Osteopathic Physicians

Office Location

Street Address 12 PORTER RD
City FARMINGTON
State CT
Zip Code 06032-2221

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508499435 Kelsey Erin Boyne Student in an Organized Health Care Education/Training Program 200 Academic Way, Farmington, CT 06032 2020-02-19
1760024723 Baliram Maraj Dentist 801 Plainville Ave., Farmington, CT 06032 2019-10-11
1770144958 Dominique Feterman Jimenez Student in an Organized Health Care Education/Training Program Internal Medicine Associates Outpatient Pavilion 2 West, 263 Farmington Avenue, Farmington, CT 06032 2019-06-27
1033770698 Tiffany Otto Nurse Practitioner 27o Farmington Avenue, # 309, Farmington, CT 06032 2019-06-25
1124683941 Aleksandra M Sliwinska Student in an Organized Health Care Education/Training Program Uconn Health Im Associates, 263 Farmington Avenue, Op, 2 West, Farmington, CT 06032 2019-05-07
1922663889 Sean Ag Harford Student in an Organized Health Care Education/Training Program Uconn Health - Internal Medicine Associates, 263 Farmington Avenue, Op, 2 West, Farmington, CT 06032 2019-05-07
1710450507 Kathy Jean Campbell Occupational Therapist 10 Birdseye Rd, Farmington, CT 06032 2019-01-04
1790273373 Cameron Seymour Dentist 291 Farmington Ave Ste 5, Farmington, CT 06032 2018-04-29
1881181790 Robin L Shahverdian LLC Counselor 304 Main St Ste D428, Farmington, CT 06032 2018-04-16
1588160998 Sight Sensory Rehabilitation Center, Pllc Optometrist 10 Birdseye Road, Farmington, CT 06032 2018-04-04
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801247861 John Frederick Harper Pediatrics 175 Scott Swamp Rd, Farmington, CT 06032-3124 2016-06-30
1497046049 Bradley J. Scoggins Pediatrics 407 S Schwartz Ave Ste 102, Farmington, NM 87401-5925 2011-04-29
1053637389 Alyssa S Bennett Pediatrics 505 Farmington Ave Fl 2, Farmington, CT 06032-1901 2010-04-12
1831338128 Nordie Anne Bilbao Pediatrics 505 Farmington Ave Ste 1s, Farmington, CT 06032 2009-02-11
1790705804 Barbara Ziogas Pediatrics 1 Forest Park Dr, Route 4, Farmington, CT 06032-1487 2006-07-20
1255363149 Richard Grenville Diedrich Pediatrics 1001 D W. Broadway, Farmington, NM 87401 2006-07-07
1902837701 John C Hickey Pediatrics 181 Franklin Health Cmns, Farmington, ME 04938-6144 2006-07-06
1912949645 Nasreen Merchant Pediatrics 23133 Orchard Lake Rd, Suite 100, Farmington, MI 48336-3268 2006-06-10
1093777948 Deepa Limaye Pediatrics 200 Mountain Rd, Farmington, CT 06032-2479 2006-04-05
1679555387 Earl R Judd Pediatrics 491 W Bourne Cir, Farmington, UT 84025-3650 2005-11-17
Find all providers in FARMINGTON

Competitor

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City FARMINGTON
Zip Code 06032

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Dataset Information

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.

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