Individual provider Active NPI

Janice Verbosky, MD, IBCLC

  • Pediatrics Physician
  • Midland, TX
National Provider Identifier
1386040996
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
85676 Issued in GA
Practice address
5801 W Wadley Ave
Midland, TX 79707-5055
Phone
(432) 699-2636
NPI assigned
Nov 8, 2014
Last updated
Dec 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 85676 GA 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 practice location 1

760 Broadway
Brooklyn, NY 11206-5317
Phone (718) 963-7956

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
85676GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
White's Pediatrics Pediatrics Past Accepting new patients
Sandra Maerzacker, MD, PLLC Pediatrics PastSince Nov 26, 2023 Accepting new patients
Hamilton Medical Center, Inc. Past Accepting new patients
Sari Nabulsi MD LTD LLP Pediatrics Past Accepting new patients
Adventist Health System Georgia, Inc. Past Accepting new patients
White's Pediatrics Urgent Care Pediatrics Past Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1415404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1386040996",
    "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": [
        {
            "address_1": "760 Broadway",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112065317",
            "country_code": "US",
            "telephone_number": "718-963-7956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERBOSKY",
        "first_name": "JANICE",
        "credential": "MD, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-08",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "85676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 14, 2022; 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.