Maribelle Verdiales, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

061871 Issued in GA

Practice address

924 W Spring St
Monroe, GA 30655-1751

Phone

(770) 266-0935

Fax

(770) 266-0931

NPI assigned

Feb 27, 2007

Last updated

Sep 27, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Maribelle Verdiales-Gomez Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: maribelle.verdiales.1@14247.direct.athenahealth.com

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.

• Heras Healthcare

  • Obstetrics & Gynecology Physician
  • Monroe, GA
  • NPI 1801021241
  Authorized official Same address or phone
• Restaura GYN

  • Gynecology Physician
  • Monroe, GA
  • NPI 1518889237
  Authorized official Same address or phone
• Restaura Health LLC

  • Gynecology Physician
  • Monroe, GA
  • NPI 1225513385
  Authorized official Same address or phone
• Monroe Hma Physician Management LLC

  • Internal Medicine Physician
  • Monroe, GA
  • NPI 1992757306

  Obstetrics & Gynecology

  NPD (past)
• Cny Fertility Center

  • Reproductive Endocrinology Physician
  • Syracuse, NY
  • NPI 1568504298
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380240000000",
    "number": "1578690483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 W SPRING ST",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306551751",
            "telephone_number": "770-266-0935",
            "fax_number": "770-266-0931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 W SPRING ST",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306551751",
            "telephone_number": "770-266-0935",
            "fax_number": "770-266-0931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERDIALES",
        "first_name": "MARIBELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2013-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "061871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300137757A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIBELLE",
            "last_name": "VERDIALES-GOMEZ",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kimberly Stancil Turner, M.D.
• Nancy Turpin, PT, CERT MDT, TDPT
• Scottie Lauren Tuttle, NP-C
• Usrc Monroe, LLC
• Morgan Rosalia Vanbuul, MIDWIFE, LAY
• Vest Monroe, LLC (Ridgeview Institute Monroe)
• Tracie Via, RDN
• Lisa Vickery
• Elizabeth Kelly Volfson, PHARMD, RPH
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-0780)

• Obstetrics & Gynecology Physician in Monroe, GA
• Providers in Monroe, GA by specialty
• Obstetrics & Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; 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.