Provider Demographics
NPI:1053364059
Name:NASON PHYSICIAN SERVICES INC
Entity type:Organization
Organization Name:NASON PHYSICIAN SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:C
Authorized Official - Last Name:ASKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-224-6201
Mailing Address - Street 1:105 NASON DR
Mailing Address - Street 2:
Mailing Address - City:ROARING SPRING
Mailing Address - State:PA
Mailing Address - Zip Code:16673-1202
Mailing Address - Country:US
Mailing Address - Phone:814-224-6201
Mailing Address - Fax:814-224-6247
Practice Address - Street 1:104 HILLCREST DR
Practice Address - Street 2:
Practice Address - City:ROARING SPRING
Practice Address - State:PA
Practice Address - Zip Code:16673-1210
Practice Address - Country:US
Practice Address - Phone:814-224-5455
Practice Address - Fax:814-224-5004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2014-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
683894OtherHIGHMARK BCBS
PA0018071900002Medicaid
683894OtherHIGHMARK BCBS