Individual provider Active NPI

Alan Richard Maurer, M.D.

  • Orthopaedic Surgery Physician
  • Venice, FL
National Provider Identifier
1780883892
Registry record updated Nov 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME16221 Issued in FL
Practice address
836 Sunset Lake Blvd
Suite 102
Venice, FL 24292-7555
Phone
(941) 966-9277
Fax
(941) 918-8668
NPI assigned
Jul 18, 2007
Last updated
Nov 3, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ME16221 FL Primary

Addresses

Primary practice location

836 Sunset Lake Blvd
Suite 102
Venice, FL 24292-7555

Mailing address

836 Sunset Lake Blvd
Suite 102
Venice, FL 34292-7555
Phone (941) 497-1771

Other identifiers 2

IdentifierTypeStateIssuer
P00752859OtherFLRAILROAD MEDICARE
146E9OtherFLBC/BS OF FLORIDA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20090928000669 FL Practitioner - Orthopedic Surgery 1355497686

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16221FLMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257206400000",
    "number": "1780883892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 SUNSET LAKE BLVD",
            "address_2": "SUITE 102",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342927555",
            "telephone_number": "941-497-1771",
            "fax_number": "941-497-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 SUNSET LAKE BLVD",
            "address_2": "SUITE 102",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "242927555",
            "telephone_number": "941-966-9277",
            "fax_number": "941-918-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAURER",
        "first_name": "ALAN",
        "middle_name": "RICHARD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-18",
        "last_updated": "2009-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME16221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00752859",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF FLORIDA",
            "identifier": "146E9",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.