Melissa A Maciborski, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

N0237 Issued in TX

Practice address

151 Exchange Blvd
#500
Hutto, TX 78634-5381

Phone

(512) 846-1244

Fax

(512) 846-1963

NPI assigned

Jun 14, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mmaciborski34269@direct.chppoc.masshiway.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• George F Vitek MD & Associates PC

  • Pediatric Adolescent Medicine Physician
  • Wilbraham, MA
  • NPI 1457393506
  NPD (past)

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294358400000",
    "number": "1982808556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26726",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787550726",
            "telephone_number": "512-407-8686",
            "fax_number": "512-421-4489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 EXCHANGE BLVD",
            "address_2": "#500",
            "city": "HUTTO",
            "state": "TX",
            "postal_code": "786345381",
            "telephone_number": "512-846-1244",
            "fax_number": "512-846-1963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACIBORSKI",
        "first_name": "MELISSA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2011-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "BP1-0023816",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N0237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MYUTMB 3805159070-COMMERCIAL NUMBER",
            "identifier": "3805159070",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "195862101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "195862102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lone Star Circle of Care
• Lone Star Circle of Care
• Chelsea Lopez, FNP
• Luminous Alignment- Lual LLC
• Miranda Lynch
• Shubhra Malik
• Teri Lynn Marek, DDS
• Monica De la Caridad Marin Castella, PA
• Angela G Martin, LPC
• Brianna Rene Martindale, CTRS

• All providers in Hutto, TX
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; 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.