NPIMap

Organization Active NPI

Sandra Maerzacker, MD, PLLC

  • Pediatrics Physician
  • Midland, TX
National Provider Identifier
1124893177
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
SANDRA MAERZACKER, MD, PLLC
Doing business as
Sandra Maerzacker, MD, PLLC
Practice address
5801 W Wadley Ave
Midland, TX 79707-5055
Phone
(432) 699-2636
NPI assigned
Nov 20, 2023
Last updated
Nov 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Authorized official

Name
Celeste Lopez
Title
Billing Manager
Phone
(432) 699-2636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

5801 W Wadley Ave
Midland, TX 79707-5055

Mailing address

5801 W Wadley Ave
Midland, TX 79707-5055
Phone (432) 699-2636

Other names 1

  • Sandra Maerzacker, MD, PLLC Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2294420Sandra Maerzacker, MD, PLLC5801 W Wadley Ave, Midland, TX 79707Certificate of waiverNov 26, 2027

National Provider Directory

National Provider Directory

Locations

5801 W Wadley Ave
Midland, TX 79707
Phone (432) 699-2636

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1124893177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 W WADLEY AVE",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797075055",
            "telephone_number": "432-699-2636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 W WADLEY AVE",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797075055",
            "telephone_number": "432-699-2636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA MAERZACKER, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "CELESTE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "432-699-2636"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandra Maerzacker, MD, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.