Abilene Perinatal Associates, P.L.L.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G5322 Issued in TX

Legal business name

ABILENE PERINATAL ASSOCIATES, P.L.L.C.

Practice address

1850 Hickory St FL 2
Abilene, TX 79601-2325

Phone

(325) 670-6690

Fax

(325) 670-6593

NPI assigned

Mar 6, 2007

Last updated

Jan 9, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark C. Maberry, M.D.

Title

Administrator

Phone

(325) 670-6690

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326067200000",
    "number": "1912037516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 HICKORY ST FL 2",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012325",
            "telephone_number": "325-670-6690",
            "fax_number": "325-670-6593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 HICKORY ST FL 2",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012325",
            "telephone_number": "325-670-6690",
            "fax_number": "325-670-6593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABILENE PERINATAL ASSOCIATES, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2012-01-09",
        "status": "A",
        "authorized_official_last_name": "MABERRY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "325-670-6690",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "G5322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0060KA",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159417801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Abilene, TX
• Providers in Abilene, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; 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.