Active NPI
Krystal R Maurer, PA-C
- Physician Assistant
- Columbus, OH
National Provider Identifier
1740432798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50.002800
- Practice address
- 750 Mount Carmel Mall Ste 300
Columbus, OH 43222-1554 - Phone
- (614) 224-6420
- NPI assigned
- Oct 21, 2008
- Last updated
- Jun 12, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50.002800 | OH | Primary |
Addresses
Primary practice location
750 Mount Carmel Mall Ste 300
Columbus, OH 43222-1554
Mailing address
750 Mount Carmel Mall Ste 300
Columbus, OH 43222-1554
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50.002800 | OH | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244764800000",
"number": "1740432798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 MOUNT CARMEL MALL STE 300",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432221554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 MOUNT CARMEL MALL STE 300",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432221554",
"telephone_number": "614-224-6420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAURER",
"first_name": "KRYSTAL",
"middle_name": "R",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-21",
"last_updated": "2009-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.002800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.