DR. BRIAN TED MAURER (NPI# 1225038532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225038532 |
| Entity Type | Individual |
| Full Name | DR. BRIAN TED MAURER |
| Credential | M.D. |
| Practice Address |
303 N William Kumpf Blvd Peoria IL 61605-2507 |
| Practice Telephone | 3096765546 |
| Practice Fax Number | 3096765045 |
| Mailing Telephone | 3096765546 |
| Mailing Fax Number | 3096765045 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2009-12-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
36082960 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 36082960 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982672564 | Brian Thomas Maurer | Physician Assistant | 155 Hazard Ave, Suite 14, Enfield, CT 06082-4580 | 2006-03-09 |
| 1831529486 | Brian Maurer | Nurse Anesthetist, Certified Registered | 4901 Grande Dr, Pensacola, FL 32504-5935 | 2013-11-19 |
| 1912093071 | Brian Thomas Maurer | Podiatrist | 50 Buck Creek Road, Suite 205, Avon, CO 81620 | 2006-10-05 |
| Street Address |
303 N WILLIAM KUMPF BLVD |
| City | PEORIA |
| State | IL |
| Zip Code | 61605-2507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366441644 | Mark R Phillips | Orthopaedic Surgery | 303 N William Kumpf Blvd, Peoria, IL 61605-2507 | 2005-07-19 |
| 1285137653 | Valerie T Kale | Physician Assistant | 303 N William Kumpf Blvd, Peoria, IL 61605-2507 | 2018-03-13 |
| 1114475597 | Lindsey A. Johnston | Nurse Practitioner | 303 N William Kumpf Blvd, Peoria, IL 61605-2507 | 2016-09-14 |
| 1871945667 | Eric L. Pfeiffer | Nurse Practitioner | 303 N William Kumpf Blvd, Peoria, IL 61605-2507 | 2016-07-06 |
| 1588056881 | Jonathan Isaac Hochstetler | Specialist/Technologist | 303 N William Kumpf Blvd, Peoria, IL 61605-2507 | 2015-02-23 |
| 1043552227 | Keith Thomas Corpus | Orthopaedic Surgery | 303 N William Kumpf Blvd, Peoria, IL 61605 | 2013-03-26 |
| 1912251653 | Adam Kyle Jelinek | Physician Assistant | 303 N William Kumpf Blvd, Peoria, IL 61605-2507 | 2012-11-02 |
| 1578870440 | Keirstin A Mott | Physician Assistant | 303 N William Kumpf Blvd, Peoria, IL 61605-2507 | 2010-09-13 |
| 1811220650 | Musculoskeletal Surgery Center, LLC | Clinic/Center | 303 N William Kumpf Blvd, Peoria, IL 61605-2507 | 2009-09-11 |
| 1689817371 | Maryelizabeth Tyler Rashid | Specialist | 303 N William Kumpf Blvd, Peoria, IL 61605-2507 | 2009-04-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386131878 | Nicholas Anthony Helling | Physical Therapist | 518 W Romero B Garret Ave, Poeria, IL 61605 | 2018-04-19 |
| 1891241022 | Peoria Slf Lp | Assisted Living Facility | 518 West Romeo B. Garrett Avenue, Peoria, IL 61605 | 2016-08-28 |
| 1932479664 | Michelle L Whitelow | Nurse Practitioner | 711 W John Gwynn Jr. Avenue, Peoria, IL 61605 | 2012-01-11 |
| 1982852877 | Jason M Anane-sefah | Orthopaedic Surgery | 303 North Kumpf Boulevard, Peoria, IL 61605 | 2008-09-04 |
| 1902098908 | Calvary Elderly Home Help Program | Home Health | 1709 W Lincoln Ave, Peoria, IL 61605 | 2007-08-14 |
| 1023104437 | Thomas Anderson | Optometrist | 710 W Third Avenue, Peoria, IL 61605 | 2006-10-04 |
| 1841382298 | Devashish Agarwal | Family Medicine | 1701 W. Garden Street, Peoria, IL 61605 | 2006-09-29 |
| 1497763197 | Larry T Rolle | Pharmacist | 411 Martin Luther King Dr., Peoria, IL 61605 | 2006-08-04 |
| 1568404762 | Joseph P Kelly Iv | Physical Therapist | 303 N. Kumpf Blvd, Peoria, IL 61605 | 2006-06-12 |
| 1003861634 | Patrick William Elwood | Neurological Surgery | 719 N William Kumpf Blvd, Suite 100, Peoria, IL 61605 | 2006-05-23 |
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| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| 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, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679573901 | Richard Paul Driessnack | Orthopaedic Surgery | 303 N William Kumpf Blvd, Peoria, IL 61605-2507 | 2005-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578901799 | Kevin Christopher Bigart | Orthopaedic Surgery | 688 Cedar Crossings Dr, New Lenox, IL 60451-5200 | 2013-06-10 |
| 1174899207 | Sara Wallace | Orthopaedic Surgery | 5814 S Maryland Ave # Mc3079, Chicago, IL 60637 | 2012-03-22 |
| 1699909887 | Anand Srinivasan | Orthopaedic Surgery | 2850 Ridge Ave, Ste 880, Evanston, IL 60201 | 2009-05-04 |
| 1114184058 | Denis Nam | Orthopaedic Surgery | 1611 W Harrison St Ste 300, Chicago, IL 60612 | 2008-05-19 |
| 1376610634 | Gregg Michael Moga | Orthopaedic Surgery | 6025 Pebble Creek Ct, Gurnee, IL 60031-4722 | 2006-11-29 |
| 1134233299 | Raymond Donald Santucci | Orthopaedic Surgery | 5n467 Curling Pond Rd # 533, Wayne, IL 60184-2226 | 2006-08-18 |
| 1407835135 | Wayne Paprosky | Orthopaedic Surgery | 25 North Winfield Rd, Winfield, IL 60190 | 2006-01-11 |
| 1154321222 | Piero Capecci | Orthopaedic Surgery | 800 N 1st St, Springfield, IL 62702-3719 | 2005-07-29 |
| 1528445152 | Korey Douglas Partenheimer | Orthopaedic Surgery | 5841 S Maryland Ave, M/c 3079, Chicago, IL 60637-1443 | 2015-05-04 |
| 1922495068 | Darren Plummer | Orthopaedic Surgery | 1611 W Harrison St Ste 400, Chicago, IL 60612-4861 | 2015-04-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.