Active NPI
Norman Lee Mauroner Jr., M.D.
- Internal Medicine Physician
- Warrenton, VA
National Provider Identifier
1215030002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101033227
- Practice address
- 555 Hospital Dr
Warrenton, VA 20186-3028 - Phone
- (540) 347-5512
- Fax
- (540) 341-4646
- NPI assigned
- Sep 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101033227 | VA | Primary |
Addresses
Primary practice location
555 Hospital Dr
Warrenton, VA 20186-3028
Mailing address
555 Hospital Dr
Warrenton, VA 20186-3028
Phone (540) 347-5512
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80735 | Other | VA | SOUTHERN HEALTH PROVIDER |
| 486107 | Other | VA | AETNA PROVIDER # |
| 7093597 | Other | VA | CIGNA PROVIDER # |
| 274676 | Other | VA | ANTHEM BCBS PROVIDER # |
| 6096417 | Medicaid | VA | |
| 828917 | Other | VA | MAMSI PROVIDER # |
| 5082-0001 | Other | DC | CAREFIRST BCBS PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101033227 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Warrenton Medical Associates,PC | Internal Medicine | Current | Accepting new patients |
Locations
555 Hospital Dr
Warrenton, VA 20186
Phone (540) 347-5512
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Warrenton, VA
- NPI 1710026687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304467200000",
"number": "1215030002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 HOSPITAL DR",
"city": "WARRENTON",
"state": "VA",
"postal_code": "201863028",
"telephone_number": "540-347-5512",
"fax_number": "540-341-4646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 HOSPITAL DR",
"city": "WARRENTON",
"state": "VA",
"postal_code": "201863028",
"telephone_number": "540-347-5512",
"fax_number": "540-341-4646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAURONER",
"first_name": "NORMAN",
"middle_name": "LEE",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2011-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101033227",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH PROVIDER",
"identifier": "80735",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER #",
"identifier": "486107",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PROVIDER #",
"identifier": "7093597",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS PROVIDER #",
"identifier": "274676",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6096417",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI PROVIDER #",
"identifier": "828917",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS PROVIDER #",
"identifier": "5082-0001",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warrenton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; 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.