Provider Demographics
NPI:1326439803
Name:NASON PHYSICIAN PRACTICES LLC
Entity Type:Organization
Organization Name:NASON PHYSICIAN PRACTICES LLC
Other - Org Name:NASON PEDIATRICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JESS
Authorized Official - Middle Name:
Authorized Official - Last Name:JUDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-920-7000
Mailing Address - Street 1:105 HILLCREST DR
Mailing Address - Street 2:
Mailing Address - City:ROARING SPRING
Mailing Address - State:PA
Mailing Address - Zip Code:16673-1211
Mailing Address - Country:US
Mailing Address - Phone:814-224-2555
Mailing Address - Fax:814-224-4704
Practice Address - Street 1:105 HILLCREST DR
Practice Address - Street 2:
Practice Address - City:ROARING SPRING
Practice Address - State:PA
Practice Address - Zip Code:16673-1211
Practice Address - Country:US
Practice Address - Phone:814-224-2555
Practice Address - Fax:814-224-4704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-05
Last Update Date:2015-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty