Individual provider Active NPI

Maryanne L. Dokler Helffrich, MD

  • Pediatric Surgery Physician
  • Jacksonville, FL
National Provider Identifier
1720193709
Registry record updated Jun 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
35.045761 Issued in OH
Practice address
807 Childrens Way
Jacksonville, FL 32207
Phone
(904) 697-3850
Fax
(904) 697-3927
NPI assigned
Aug 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Surgery Physician 2086S0120X ME51187 FL
Pediatric Surgery Physician 2086S0120X 35.045761 OH Primary

Addresses

Primary practice location

807 Childrens Way
Jacksonville, FL 32207

Mailing address

8055 Mayfield Rd Ste 105
Chesterland, OH 44026-2447
Phone (216) 844-3015

Other practice location 1

1717 S Orange Ave Ste 100
Orlando, FL 32806-2946
Phone (407) 650-7000

Other practice location 2

3300 W Lake Mary Blvd Ste 100
Lake Mary, FL 32746-3499
Phone (407) 650-4000

Other practice location 3

13535 Nemours Pkwy
Orlando, FL 32827-7402
Phone (407) 567-4000

Other practice location 4

11100 Euclid Ave
Cleveland, OH 44106
Phone (216) 844-3015

Other practice location 5

11100 Euclid Ave
Cleveland, OH 44106
Phone (216) 844-3015

Other identifiers 2

IdentifierTypeStateIssuer
061878100MedicaidFL
000446498AMedicaidGA

Other names 1

  • Dr. Maryanne Louise Dokler Professional name

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

LicenseStateTypeSpecialty
35.045761OHMDPediatric Surgery Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1720193709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8055 MAYFIELD RD STE 105",
            "city": "CHESTERLAND",
            "state": "OH",
            "postal_code": "440262447",
            "telephone_number": "216-844-3015",
            "fax_number": "216-844-8687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 CHILDRENS WAY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32207",
            "telephone_number": "904-697-3850",
            "fax_number": "904-697-3927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1717 S Orange Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328062946",
            "country_code": "US",
            "telephone_number": "407-650-7000",
            "fax_number": "407-567-5924",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 W Lake Mary Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lake Mary",
            "state": "FL",
            "postal_code": "327463499",
            "country_code": "US",
            "telephone_number": "407-650-4000",
            "fax_number": "407-650-7124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13535 Nemours Pkwy",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328277402",
            "country_code": "US",
            "telephone_number": "407-567-4000",
            "fax_number": "407-567-5924",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11100 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "44106",
            "country_code": "US",
            "telephone_number": "216-844-3015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11100 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "44106",
            "country_code": "US",
            "telephone_number": "216-844-3015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOKLER HELFFRICH",
        "first_name": "MARYANNE",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "FL",
            "license": "ME51187",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "OH",
            "license": "35.045761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061878100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000446498A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARYANNE",
            "last_name": "DOKLER",
            "middle_name": "LOUISE",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.