Active NPI
Elliott Mason Gauer, D.O.
- Psychiatry Physician
- Reisterstown, MD
National Provider Identifier
1982021093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- H0080946
- Practice address
- 37 Main St
Reisterstown, MD 21136-1236 - Phone
- (410) 526-7882
- NPI assigned
- Mar 26, 2014
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | H0080946 | MD | Primary |
Addresses
Primary practice location
37 Main St
Reisterstown, MD 21136-1236
Mailing address
37 Main St
Reisterstown, MD 21136-1236
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H0080946 | MD | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639526400000",
"number": "1982021093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 MAIN ST",
"city": "REISTERSTOWN",
"state": "MD",
"postal_code": "211361236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 MAIN ST",
"city": "REISTERSTOWN",
"state": "MD",
"postal_code": "211361236",
"telephone_number": "410-526-7882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAUER",
"first_name": "ELLIOTT",
"middle_name": "MASON",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-26",
"last_updated": "2021-12-15",
"certification_date": "2021-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "H0080946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reisterstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.