Healthcare Provider Details

I. General information

NPI: 1962104836
Provider Name (Legal Business Name): ERIK DANIEL MAAS PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2023
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1024 S LEMAY AVE
FORT COLLINS CO
80524-3929
US

IV. Provider business mailing address

2418 COTTONGRASS AVE
LOVELAND CO
80538-9394
US

V. Phone/Fax

Practice location:
  • Phone: 970-495-8006
  • Fax:
Mailing address:
  • Phone: 970-372-9913
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA.0009426
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberC08882
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: