Active NPI
Frederick Robert Maue, MD
- Psychiatry Physician
- Danville, PA
National Provider Identifier
1902889611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD025476E
- Practice address
- 1083 Bloom Rd Ste 1
Danville, PA 17821-6789 - Phone
- (570) 275-6080
- Fax
- (570) 275-6089
- NPI assigned
- Nov 28, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD025476E | PA | Primary |
Addresses
Primary practice location
1083 Bloom Rd Ste 1
Danville, PA 17821-6789
Mailing address
240 Washington Ave.
Sunbury, PA 17801
Phone (717) 571-2221
Other practice location 1
503 N 21st St
Camp Hill, PA 17011-2204
Phone (717) 763-2219
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0008518450004 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160524001156 | PA | Order and Referring Only - Psychiatry | 2264445865 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD025476E | PA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538092800000",
"number": "1902889611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 WASHINGTON AVE.",
"city": "SUNBURY",
"state": "PA",
"postal_code": "17801",
"telephone_number": "717-571-2221",
"fax_number": "570-286-1703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1083 BLOOM RD STE 1",
"city": "DANVILLE",
"state": "PA",
"postal_code": "178216789",
"telephone_number": "570-275-6080",
"fax_number": "570-275-6089"
}
],
"practiceLocations": [
{
"address_1": "503 N 21st St",
"address_purpose": "LOCATION",
"city": "Camp Hill",
"state": "PA",
"postal_code": "170112204",
"country_code": "US",
"telephone_number": "717-763-2219",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAUE",
"first_name": "FREDERICK",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-28",
"last_updated": "2018-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD025476E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0008518450004",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Danville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; 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.