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KEITH EARL MAULLER PA-C
NPI 1346325628
Physician Assistant - Surgical in Saint Louis, MO

Active since October 26, 2006
915 N GRAND BLVD, SAINT LOUIS, MO 63106(314) 652-4100(314) 289-7034 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Keith Earl Mauller Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEITH EARL MAULLER PA-C (NPI 1346325628) is an individual surgical provider in Saint Louis, Missouri and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1346325628
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameKEITH EARL MAULLERCredential: PA-C
Location Address915 N GRAND BLVDSaint Louis, MO 63106-1621
Mailing Address10436 Gregory CtSaint Louis, MO 63128-1637 · (314) 652-4100 · Fax (314) 289-7034
Phone(314) 652-4100
Fax(314) 289-7034
Sole ProprietorYes
Enumeration DateOctober 26, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1346325628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
915 N GRAND BLVD, Saint Louis, MO 63106
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MATTHEW CHRISTOPHER SIMPSON O.D.
Optometrist
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4100
MS. CHARMIN MEYATTA GIBSON M.S.W.
Social Worker
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4110
CONOR MCCARTNEY M.D.
Internal Medicine
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4100
ALITA BILLOPS CNP
Nurse Practitioner (Primary Care)
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4100
STEPHANIE ADAMS
Registered Nurse
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 289-7676
NAGLA ABDELMALEK M.D.
Emergency Medicine
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4100
DR. JAMES MICHAEL HASIK DDS
Dentist (General Practice)
915 N GRAND BLVD, DENTAL CLINIC
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4100
MS. TRACY LANES CRNA
Nurse Anesthetist, Certified Registered
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Mauller's NPI number?

The NPI number for Keith Mauller is 1346325628. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Where is Keith Mauller located?

Keith Mauller practices at 915 N Grand Blvd, Saint Louis, MO 63106. The listed phone number is (314) 652-4100.

What is Keith Mauller's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Keith Mauller was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.