Active NPI
David J. Maurer, M.D.
- Surgery Physician
- Edina, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 32192
- Practice address
- 6405 France Ave S
Suite W440
Edina, MN 55435-2163 - Phone
- (952) 927-7004
- Fax
- (952) 927-5146
- NPI assigned
- Jul 4, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 32192 | MN | Primary |
Addresses
Primary practice location
6405 France Ave S
Suite W440
Edina, MN 55435-2163
Mailing address
3400 W 66TH St
Suite 350
Edina, MN 55435-2111
Phone (952) 832-0805
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 908290500 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32192 | MN | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients |
Locations
14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400
6405 France Ave S
Ste W440
Edina, MN 55435
Phone (952) 345-4178
6405 France Ave S
Ste 440
Edina, MN 55435
Phone (952) 927-7004
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
6363 France Ave S
#505
Minneapolis, MN 55435
Phone (612) 920-4252
400 Stinson Blvd
#2
Minneapolis, MN 55413
Phone (612) 672-2294
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1053952606
-
- Emergency Medicine Physician
- Minneapolis, MN
- NPI 1811077175
-
- Eyewear Supplier
- Andover, MN
- NPI 1356524540
-
- General Practice Physician
- Edina, MN
- NPI 1831707207
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
- Land Ambulance
- Saint Paul, MN
- NPI 1710212485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366329600000",
"number": "1962432104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 W 66TH ST",
"address_2": "SUITE 350",
"city": "EDINA",
"state": "MN",
"postal_code": "554352111",
"telephone_number": "952-832-0805",
"fax_number": "952-832-5597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6405 FRANCE AVE S",
"address_2": "SUITE W440",
"city": "EDINA",
"state": "MN",
"postal_code": "554352163",
"telephone_number": "952-927-7004",
"fax_number": "952-927-5146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAURER",
"first_name": "DAVID",
"middle_name": "J.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2013-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MN",
"license": "32192",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "908290500",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2013; 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.