Individual provider Active NPI

Margaret C Maercklein, MD

  • Emergency Medicine Physician
  • Leland, NC
National Provider Identifier
1063555951
Registry record updated Dec 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
202820 Issued in NC
Practice address
1104 Charlton Way
Leland, NC 28451-9298
Phone
(414) 916-5334
Fax
(910) 399-1485
NPI assigned
Feb 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 202820 NC Primary

Addresses

Primary practice location

1104 Charlton Way
Leland, NC 28451-9298

Mailing address

1104 Charlton Way
Leland, NC 28451-9298
Phone (414) 916-5334

Other identifiers 1

IdentifierTypeStateIssuer
31864200MedicaidWI

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

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449187200000",
    "number": "1063555951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 CHARLTON WAY",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284519298",
            "telephone_number": "414-916-5334",
            "fax_number": "910-399-1485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 CHARLTON WAY",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284519298",
            "telephone_number": "414-916-5334",
            "fax_number": "910-399-1485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAERCKLEIN",
        "first_name": "MARGARET",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2015-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "202820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31864200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leland, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; 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.