Maribel Labindalawa Angka-Servera, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

047388 Issued in GA

Practice address

401 S Main St
Suite C5
Alpharetta, GA 30009-7960

Phone

(678) 205-2437

Fax

(678) 205-2439

NPI assigned

Apr 10, 2006

Last updated

Jul 27, 2009By 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

• Dr. Maribel Servera Other name

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FEEEAA/Endpoint/FEEEAA

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.

• Main Street Internal Medicine & Pediatrics PC

  dba Main Street Pediatrics PC

  • Pediatrics Physician
  • Alpharetta, GA
  • NPI 1619155306
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248652800000",
    "number": "1932162989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S MAIN ST",
            "address_2": "SUITE C5",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300097960",
            "telephone_number": "678-205-2437",
            "fax_number": "678-205-2439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S MAIN ST",
            "address_2": "SUITE C5",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300097960",
            "telephone_number": "678-205-2437",
            "fax_number": "678-205-2439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGKA-SERVERA",
        "first_name": "MARIBEL",
        "middle_name": "LABINDALAWA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2009-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "047388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000860054D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIBEL",
            "last_name": "SERVERA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Anesthesia Professionals Inc
• Anesthetic Supply Service, LLC
• Angel Hearts Care
• Allison Angel
• Angela U. Seymour, LLC (Angela Seymour Counseling)
• Anodyne Pain Group of North Georgia LLC (Anodyne Pain and Wellness Solutions - Alpharetta)
• Chisom Becky Anosike, PHARM.D
• Jack Joseph Anthonijs, D.C.
• Anthony J. Neary DC LLC (All About Wellness)
• Terresha Anthony, LMSW

• Pediatrics Physician in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.