Individual provider Active NPI

Carol N. Maurer

  • Prosthetic/Orthotic Supplier
  • Lebanon, PA
National Provider Identifier
1932397486
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
6000003485 Issued in PA
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

Updated by the provider on Oct 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
6000003485PAMDProsthetic/Orthotic Supplier

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.