Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 36951 | IA |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 36951 | IA |
NPI | 1881602050 |
---|---|
Provider Name | Dr. Peter B Maurus |
First Address | Iowa City, IA 52245-9509 |
Second Address | Iowa City, IA 52245-9509 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2006 |
Last Update Date | 19/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0742973 | (05) | IA |
28383 | WELLMARK BCBS OF IA (01) | |
H98049 | (02) | IA |
P00350567 | RR MEDICARE (01) | IA |