MEDICARE: SHEILA MARIA MAURER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2080P0214X	Pediatric Pulmonology Physician	2018-01638	NC
2	2084P0800X	Psychiatry Physician	2018-01638	NC
3	2080S0012X	Pediatric Sleep Medicine Physician	2018-01638	NC
4	2084P0804X	Child & Adolescent Psychiatry Physician	2018-01638	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	390200000X	OTHER		PSYCHIATRY RESIDENT
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689659161
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHEILA MARIA MAURER M.D.

Provider Business Mailing Address
First Line	:	100 KIMEL FOREST DR
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27103-6074
Country	:	US
Telephone Number	:	336-716-0238
Fax Number	:

Provider Business Practice Location Address
First Line	:	MEDICAL CENTER BLVD
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27157-5243
Country	:	US
Telephone Number	:	336-713-4500
Fax Number	:	336-713-4501

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/07/2005
Last Update Date	:	12/04/2024

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