Active NPI
Carol N. Maurer
- Prosthetic/Orthotic Supplier
- Lebanon, PA
National Provider Identifier
1932397486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- 6000003485
- Practice address
- 809 E Evergreen Rd
Lebanon, PA 17042-7928 - Phone
- (717) 273-5055
- NPI assigned
- Oct 10, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | 6000003485 | PA | Primary |
Addresses
Primary practice location
809 E Evergreen Rd
Lebanon, PA 17042-7928
Mailing address
809 E Evergreen Rd
Lebanon, PA 17042-7928
Phone (717) 273-5055
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6000003485 | PA | MD | Prosthetic/Orthotic Supplier |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carol'S Specialty Shoppe | Prosthetic/Orthotic Supplier | Past | Accepting new patients |
| Carol'S Specialty Shoppe | Prosthetic/Orthotic Supplier | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Prosthetic/Orthotic Supplier
- Lebanon, PA
- NPI 1609060979
-
- Prosthetic/Orthotic Supplier
- Lebanon, PA
- NPI 1881871077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192060800000",
"number": "1932397486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 E EVERGREEN RD",
"city": "LEBANON",
"state": "PA",
"postal_code": "170427928",
"telephone_number": "717-273-5055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 E EVERGREEN RD",
"city": "LEBANON",
"state": "PA",
"postal_code": "170427928",
"telephone_number": "717-273-5055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAURER",
"first_name": "CAROL",
"middle_name": "N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-10",
"last_updated": "2007-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "PA",
"license": "6000003485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.