Robert Landis Mauger III, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0116033071 Issued in VA

Practice address

USA Meddac
11050 Mt Belvedere Boulevard
Fort Drum, NY 13602

Phone

(315) 774-5379

NPI assigned

Jun 12, 2019

Last updated

Aug 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1447819404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "USA MEDDAC",
            "address_2": "11050 MT BELVEDERE BOULEVARD",
            "city": "FT DRUM",
            "state": "NY",
            "postal_code": "13602",
            "telephone_number": "315-774-5379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "USA MEDDAC",
            "address_2": "11050 MT BELVEDERE BOULEVARD",
            "city": "FORT DRUM",
            "state": "NY",
            "postal_code": "13602",
            "telephone_number": "315-774-5379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUGER",
        "first_name": "ROBERT",
        "middle_name": "LANDIS",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-12",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0116033071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tobin Northstar Marti, LMHC
• Bobbi A Massey-Campbell, LCSW
• Caleb Matherne
• Bridget Matsas, MD
• Angela Matthews, LCSW
• John Lewis McAfee
• Sean Douglas McCormick, PSY.D.
• Kory McCullah, PA-C
• Benjamin McDaniels, DPT
• Megan Marie McGinty

• Family Medicine Physician in Fort Drum, NY
• Providers in Fort Drum, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; 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.