Donald Owen Mauger, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

50.000677 Issued in OH

Practice address

1581 Dodd Dr
Columbus, OH 43210-1257

Phone

(614) 293-2101

Fax

(614) 293-9155

NPI assigned

Nov 8, 2006

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

Other identifiers 1

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

Physician Assistant

State licenses

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1639249790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ACKERMAN RD STE 2120",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021559",
            "telephone_number": "614-293-2101",
            "fax_number": "614-293-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1581 DODD DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101257",
            "telephone_number": "614-293-2101",
            "fax_number": "614-293-9155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4864 Vandorn Ct",
            "address_purpose": "LOCATION",
            "city": "Hilliard",
            "state": "OH",
            "postal_code": "430268908",
            "country_code": "US",
            "telephone_number": "614-777-5431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAUGER",
        "first_name": "DONALD",
        "middle_name": "OWEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OH",
            "license": "50.000677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0164506",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zamaryanna Mattox
• Amita Maturu, M.D
• Sarita Venkata Maturu, D.O
• Alicja Matusiak, LISW-S, CNP
• John A Matyas, MD
• Amanda Lynn Mauk, NP
• Jessica Maupin, DO
• Philip R Maur, MD
• Maureen Delphia, M.D., Inc
• Krystal R Maurer, PA-C

• Surgical Physician Assistant in Columbus, OH
• Providers in Columbus, OH by specialty
• Surgical Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; 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.