Individual provider Active NPI

Norman Lee Mauroner Jr., M.D.

  • Internal Medicine Physician
  • Warrenton, VA
National Provider Identifier
1215030002
Registry record updated May 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101033227 Issued in VA
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

Updated by the provider on May 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
80735OtherVASOUTHERN HEALTH PROVIDER
486107OtherVAAETNA PROVIDER #
7093597OtherVACIGNA PROVIDER #
274676OtherVAANTHEM BCBS PROVIDER #
6096417MedicaidVA
828917OtherVAMAMSI PROVIDER #
5082-0001OtherDCCAREFIRST 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041116000544 VA Practitioner - Internal Medicine 9931163359 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101033227VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Warrenton Medical Associates,PC Internal Medicine CurrentSince Feb 18, 1986 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.

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

Verify at the official NPI Registry.