Brian Ted Maurer in Peoria - Adult Reconstructive Orthopaedic Surgery
Brian Ted Maurer - NPI 1225038532
Brian Ted Maurer is a Adult Reconstructive Orthopaedic Surgery in Peoria, Illinois. Brian Ted Maurer practices all healthcare services and medical treatments related to Adult Reconstructive Orthopaedic Surgery. The NPI Number for Brian Ted Maurer is 1225038532. The last update date is 2009-12-04.
Brian Ted Maurer's current location address is 303 N William Kumpf Blvd, Peoria, Illinois. You can contact this provider via phone number 3096765546 and fax number 3096765045. The mailing address for Brian Ted Maurer is 303 N William Kumpf Blvd, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian Ted Maurer |
|---|---|
| Address | 303 N William Kumpf Blvd, Peoria, Illinois |
| Phone Number | 3096765546 |
| Fax Number | 3096765045 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1225038532 |
|---|---|
| Provider Enumeration Date | 2005-07-28 |
| Last Updated Date | 2009-12-04 |
Provider Mailing Address Detail
| Address | 303 N William Kumpf Blvd |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616052507 |
| Phone Number | 3096765546 |
| Fax Number | 3096765045 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Reconstructive Orthopaedic Surgery |
|---|---|
| Taxonomy | 207Xs0114X |
| Licence No | 36082960 |
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Definition: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthrosc |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36082960 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Brian Ted Maurer by the Centers for Medicare & Medicaid Services (CMS)?
The Brian Ted Maurer has been assigned the NPI (National Provider Identifier) 1225038532. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Brian Ted Maurer is located?
The Brian Ted Maurer is situated at the following address: 303 N William Kumpf Blvd, Peoria, IL, 616052507.
What is the Brian Ted Maurer's specialty and taxonomy code?
The Brian Ted Maurer's specialty is Adult Reconstructive Orthopaedic Surgery, and the corresponding taxonomy code is 207Xs0114X.
On what date did the Brian Ted Maurer receive the assignment of its 1225038532 from the Centers for Medicare & Medicaid Services?
The Brian Ted Maurer was issued its 1225038532 by the Centers for Medicare & Medicaid Services on 2005-07-28.
When was the information regarding Brian Ted Maurer most recently updated?
The details pertaining to the Brian Ted Maurer, including its address, specialty, and other relevant information, were last refreshed on 2009-12-04.
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