DR. DOUGLAS D. MAIR (NPI# 1588819221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588819221 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS D. MAIR |
| Credential | M.D. |
| Practice Address |
1814 Walden Ln Sw Rochester MN 55902-0903 |
| Practice Telephone | 5072886850 |
| Mailing Telephone | 5072886850 |
| Enumeration Date | 2008-11-21 |
| Last Update Date | 2008-11-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
16279 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
1814 WALDEN LN SW |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55902-0903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487264446 | Amber Nichelle Irby | Dental Therapist | 903 W Center St #130, Rochester, MN 55902 | 2020-08-05 |
| 1720584337 | John E Herman Home and Treatment Facility, LLC | Psychiatric Residential Treatment Facility | 351 14th Ave Sw, Rochester, MN 55902 | 2018-04-03 |
| 1912442898 | Esperanza Torres | Dental Hygienist | 903 West Center Street, Suite 130, United Way Bldg, Rochester, MN 55902 | 2016-12-30 |
| 1578971149 | Alduz Inri Surio Cabasa | Student in an Organized Health Care Education/Training Program | 609 1st Street Sw, Unit 102, Rochester, MN 55902 | 2014-07-28 |
| 1679901854 | Julie Erickson | Dental Hygienist | United Way Building Suite #208, Rochester, MN 55902 | 2013-10-24 |
| 1619313590 | Mercedes K Schulz | Dental Hygienist | 13394th Ave Sw, Rochester, MN 55902 | 2013-05-17 |
| 1093087389 | Sarah Jean Dennison | Clinic/Center | 930 West Center Street, Suite 208 United Way Bldg, Rochester, MN 55902 | 2012-02-01 |
| 1467732156 | Angela Elizabeth Peters | Registered Nurse | 1450 2nd Avenue Sw, Rochester, MN 55902 | 2011-08-25 |
| 1528350071 | Emily Zahasky Kraft | Pharmacist | 204 1st Street Sw, Rochester, MN 55902 | 2011-05-03 |
| 1093021982 | Sherry Dawn Boutcher | Dental Hygienist | 903 West Center Street Suite 208, United Way Building, Rochester, MN 55902 | 2010-08-30 |
| Find all providers in zip 55902 | ||||
| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| 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) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750624995 | Maher Nazih Abadeer | Pediatrics | Ur Medicine Golisano Children's Hospital, 601 Elmwood Ave, Rochester, NY 14642 | 2013-04-05 |
| 1710143383 | Rajiv Devanagondi | Pediatrics | 601 Elmwood Ave Box 631, Rochester, NY 14642-0001 | 2008-08-04 |
| 1659859130 | Ezequiel Sagray | Pediatrics | 200 1st St Sw, Rochester, MN 55905 | 2018-08-06 |
| 1427582071 | Carolina Patricia Larmeu | Pediatrics | 200 1st St Sw, Rochester, MN 55905-0001 | 2017-04-19 |
| 1710164827 | Carol Ann Wittlieb-weber | Pediatrics | 601 Elmwood Ave, Box 631, Rochester, NY 14642-0001 | 2008-01-31 |
| 1033296314 | Rae Ellen Kavey | Pediatrics | 601 Elmwood Ave, Rochester, NY 14642-2978 | 2006-11-01 |
| 1306869433 | Benjamin W Eidem | Pediatrics | 200 1st St Sw, Rochester, MN 55905-0001 | 2006-07-26 |
| 1538102553 | Joseph P Harris | Pediatrics | 601 Elmwood Ave, Box 635, Rochester, NY 14642-0001 | 2006-06-14 |
| 1619910601 | Carol J Buzzard | Pediatrics | 601 Elmwood Ave, Box 635, Rochester, NY 14642-0001 | 2006-06-14 |
| 1316986391 | Pediatric Cardiology | Pediatrics | 601 Elmwood Ave, Box 635, Rochester, NY 14642-0001 | 2006-06-06 |
| Find all providers in ROCHESTER | ||||
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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.