Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Justin Dominic Arthur Mauro, PA-C

Individual provider Orthopaedic Surgery of the Spine Physician · NPI 1962119719

Justin Dominic Arthur Mauro, PA-C is a Physician Assistant in Mesa, Arizona. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in Arizona.

Years since qualifying
4
Licensed in
AZ
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4566 E Inverness Ave Ste 208
Mesa, AZ 85206-4634
Phone: (480) 993-1300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery of the Spine Physician (primary) Taxonomy 207XS0117X · Licence 9397 (AZ)

Record details

NPI number1962119719
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedNovember 1, 2022
Last updated in NPPESNovember 1, 2022
Certification dateNovember 1, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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