Healthcare Provider Details

I. General information

NPI: 1992237119
Provider Name (Legal Business Name): ROBERT MAURER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2017
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1818 AMHERST ST STE 101
WINCHESTER VA
22601-2894
US

IV. Provider business mailing address

220 CAMPUS BLVD STE 320
WINCHESTER VA
22601-2889
US

V. Phone/Fax

Practice location:
  • Phone: 540-450-0072
  • Fax: 540-450-0074
Mailing address:
  • Phone: 540-536-5100
  • Fax: 540-536-0235

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number0101282248
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: