JEROME CHARLES MAUTERER CSTFA NPI 1093034373

NPI Information

  • NPI: 1093034373
  • Provider Name: JEROME CHARLES MAUTERER, CSTFA
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • Address: 201 TERRELL DR
    SLIDELL, LA
    ZIP 70460
  • Phone: (985) 445-6902

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NPI Details

Jerome Charles Mauterer, CSTFA is a surgical physician assistant in Slidell, LA. Jerome Charles Mauterer, CSTFA NPI is 1093034373. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

201 TERRELL DR
SLIDELL, LA
ZIP 70460-433
Phone: (985) 445-6902
Fax: (985) 781-4872

The enumeration date for this NPI number is 5/25/2010 and was last updated on 10/22/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgicalYes
2246ZC0007XSpecialist/Technologist, OtherSurgical AssistantNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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