SANDRA MAERZACKER


Address: 1610 5th St, Lubbock, TX 79401-2622
Phone: 8067652611

SANDRA MAERZACKER (NPI# 1396190823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396190823
Entity Type Individual
Full Name SANDRA MAERZACKER
Credential MD
Practice Address 1610 5th St
Lubbock
TX 79401-2622
Practice Telephone 8067652611
Enumeration Date 2016-05-03
Last Update Date 2020-08-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics S4810 TX Allopathic & Osteopathic Physicians
N 208000000X Pediatrics BP10056548 TX Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
301 University Blvd, Galveston, TX 775551119 4097723695 4097723680

Office Location

Street Address 1610 5TH ST
City LUBBOCK
State TX
Zip Code 79401-2622

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174514681 United Supermarkets LLC Pharmacy 1610 5th St, Lubbock, TX 79401 2005-11-03
1134747280 Austin Michael Hasquet Dentist 1610 5th St, Lubbock, TX 79401-2622 2020-07-06
1083267819 Eshaan Mehta Dentist 1610 5th St, Lubbock, TX 79401-2622 2019-07-21
1750876801 Landry David Clapp Dentist 1610 5th St, Lubbock, TX 79401-2622 2018-06-29
1174013015 Enrique Dominguez Pharmacist 1610 5th St, Lubbock, TX 79401-2622 2018-05-16
1154844264 Patrick Elliott Wong Dentist 1610 5th St, Lubbock, TX 79401-2622 2017-07-20
1780118729 Robert J. Ragland Counselor 1610 5th St, Lubbock, TX 79401-2622 2017-04-17
1053845297 Community Health Center of Lubbock, Inc. Counselor 1610 5th St, Lubbock, TX 79401-2622 2017-04-14
1730635152 Community Health Center of Lubbock Clinic/Center 1610 5th St, Lubbock, TX 79401-2622 2016-08-26
1093269904 Community Health Clinic Lubbock Clinic/Center 1610 5th St, Lubbock, TX 79401-2622 2016-08-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740688837 Cody Painter Student in an Organized Health Care Education/Training Program 43021 6th and Boston, Lubbock, TX 79401 2014-12-05
1730412511 Chiara Eberhardt Counselor 1614 Ave K, Lubbock, TX 79401 2009-09-11
1528265535 City of Lubbock Clinic/Center 80618th Street, Lubbock, TX 79401 2007-07-02
1184784084 Cc Home Health of Lubbock LLC Technician 2118 Broadway Ave, Lubbock, TX 79401 2006-12-11
1003997768 Charles Hudson Family Medicine Concord Medical Group, 1602 Avenue Q, Lubbock, TX 79401 2006-10-18
1003904376 Thi of Texas At Lubbock II, LLC Skilled Nursing Facility 1401 9th Street, Lubbock, TX 79401 2006-10-11
1669470332 Jose A Suarez Internal Medicine 1655 Main St Ste 201, Lubbock, TX 79401 2005-07-07
1225696362 Heather Leigh Robertson Dietitian, Registered 1628 19th St, Lubbock, TX 79401 2019-06-04
1912411091 Josi Gwin Speech-Language Pathologist 1628 19th St, Lubbock, TX 79401 2017-11-28
1801116314 Anju Varghese-thomas Dentist 2402 19th St, Lubbock, TX 79401 2010-06-07
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689188484 Sarada Devi Narendran Pediatrics 9313 Salisbury Ave, Lubbock, TX 79424-5023 2017-12-01
1104237015 Coby Robins Pediatrics Ttuhsc, Department of Pediatrics, Lubbock, TX 79430-0002 2014-05-13
1801227483 Glenn Joseph Boris Pediatrics 3204 44th St, Lubbock, TX 79413-3506 2013-12-06
1508122110 Mirla L Avila Pediatrics 3601 4th Street, Ms 8321, Dept. of Neurology, Lubbock, TX 79430 2012-04-09
1437435856 West Texas Kid's Clinic, Pllc Pediatrics 5004 Frankford Ave Unit 400, Lubbock, TX 79424-1138 2011-10-31
1477864130 Rebekah Grace Phillips Pediatrics 3601 4th St Stop 9406, Department of Pediatrics Ttuhsc, Lubbock, TX 79430-0002 2010-06-28
1013243278 Jane Elizabeth Wheeler Pediatrics 4617 92nd St, Lubbock, TX 79424-5033 2009-10-22
1861636862 Celeste Xochitl Twelves Caballero Pediatrics 5202 82nd St, Lubbock, TX 79424-2823 2009-04-22
1578713244 Jeremy Robert Dalton Pediatrics 4102 24th St Ste 103, Lubbock, TX 79410-1800 2008-09-30
1306016019 Maurice Asmussen Pediatrics 1313 Broadway Ste 5, Lubbock, TX 79401-3209 2008-03-10
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Competitor

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City LUBBOCK
Zip Code 79401

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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