Provider Demographics
NPI:1508272899
Name:MASCOTT, CHRISTOPHER ROBERT (MD)
Entity Type:Individual
Prefix:PROF
First Name:CHRISTOPHER
Middle Name:ROBERT
Last Name:MASCOTT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7261 MERCY RD
Mailing Address - Street 2:FIRST FLOOR
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68124-2311
Mailing Address - Country:US
Mailing Address - Phone:402-398-6248
Mailing Address - Fax:402-829-8513
Practice Address - Street 1:601 N 30TH ST
Practice Address - Street 2:SUITE 3700
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68131-2128
Practice Address - Country:US
Practice Address - Phone:402-717-0880
Practice Address - Fax:402-717-6065
Is Sole Proprietor?:No
Enumeration Date:2014-07-08
Last Update Date:2017-03-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LAMD.11968R207T00000X
NE28236207T00000X
OH35.130672207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery