Provider Demographics
NPI:1245220292
Name:SCOTT, JASON E (MD)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:E
Last Name:SCOTT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1701 INNOVATION DR
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17408-8815
Mailing Address - Country:US
Mailing Address - Phone:717-843-8623
Mailing Address - Fax:717-862-5576
Practice Address - Street 1:1701 INNOVATION DR
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17408-8815
Practice Address - Country:US
Practice Address - Phone:717-843-8623
Practice Address - Fax:717-862-5576
Is Sole Proprietor?:No
Enumeration Date:2005-10-21
Last Update Date:2021-10-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD071604L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PW1519645OtherGATEWAY HEALTH PLAN
PAH09066OtherHEALTH ASSURANCE
PA0018075830001Medicaid
PA2514186OtherAETNA HMO
PA7953221OtherAETNA NON-HMO
PAP002540OtherGATEWAY HEALTH PLAN
PA110208054OtherRAILROAD MEDICARE
PA59666 S1QAOtherGEISINGER HEALTH PLAN
PA01802702OtherCAPITAL BLUE CROSS
PA423190OtherHIGHMARK BLUE SHIELD
PW1519645OtherGATEWAY HEALTH PLAN