Healthcare Provider Details

I. General information

NPI: 1689069569
Provider Name (Legal Business Name): CHRISTIAN MAURER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2015
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

854 W JAMES M CAMPBELL BLVD STE 301
COLUMBIA TN
38401-4659
US

IV. Provider business mailing address

6288 BELMONT CIR
MOUNT AIRY MD
21771-8037
US

V. Phone/Fax

Practice location:
  • Phone: 931-540-4140
  • Fax: 931-540-4142
Mailing address:
  • Phone: 410-707-1025
  • Fax: 918-265-0158

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number75142
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberD0094879
License Number StateMD
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number39
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: