=====================================================
General NPI Number Information
=====================================================
NPI Number | 1538812243
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DR CATHERINE MAUSS DO , LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/02/2022
-----------------------------------------------------
Last Update Date | 02/02/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 28 APPLE AVE
-----------------------------------------------------
City | GETTYSBURG
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17325-8010
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 717-973-7873
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 484 OAK HILL RD
-----------------------------------------------------
City | BIGLERVILLE
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17307-9785
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHYSICIAN/ OWNER
-----------------------------------------------------
Name | CATHERINE MAUSS
-----------------------------------------------------
Credential | DO
-----------------------------------------------------
Telephone | 302-547-4964
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------