Active NPI
Maggie R Sifain, MD
- Pediatric Pulmonology Physician
- Orlando, FL
National Provider Identifier
1336212588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Pulmonology Physician
- License
- ME104427
- Practice address
- 1717 S. Orange Ave.
Suite 100
Orlando, FL 32806-2946 - Phone
- (407) 650-7000
- Fax
- (407) 650-7124
- NPI assigned
- Nov 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 229855 | MA | |
| Pediatric Pulmonology Physician | 2080P0214X | ME104427 | FL | Primary |
| Pediatrics Physician | 208000000X | ME104427 | FL |
Addresses
Primary practice location
1717 S. Orange Ave.
Suite 100
Orlando, FL 32806-2946
Mailing address
P.O. Box 5720
Jacksonville, FL 32247-5720
Phone (904) 697-5650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 229855 | MA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Nemours Foundation | Past | Accepting new patients | |
| The Nemours Foundation | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1265585806
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1386658615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320969600000",
"number": "1336212588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 5720",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322475720",
"telephone_number": "904-697-5650",
"fax_number": "407-650-7578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 S. ORANGE AVE.",
"address_2": "SUITE 100",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328062946",
"telephone_number": "407-650-7000",
"fax_number": "407-650-7124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIFAIN",
"first_name": "MAGGIE",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-16",
"last_updated": "2011-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "229855",
"primary": false
},
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "FL",
"license": "ME104427",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME104427",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.