Provider Demographics
NPI:1568519445
Name:MASON, STEPHEN E (MD)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:E
Last Name:MASON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:1010 AIRPARK CENTER DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37217-5200
Mailing Address - Country:US
Mailing Address - Phone:615-221-4400
Mailing Address - Fax:
Practice Address - Street 1:3918 MONTCLAIR RD
Practice Address - Street 2:SUITE 105
Practice Address - City:MOUNTAIN BRK
Practice Address - State:AL
Practice Address - Zip Code:35213-2425
Practice Address - Country:US
Practice Address - Phone:205-705-3550
Practice Address - Fax:205-705-3554
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY259293207ND0900X
MS21494207ND0900X
CO50266207ZD0900X
SC33420207ZD0900X
VA0101248908207ZD0900X
TXTM00304207ZD0900X
NC201100136207ZD0900X
TN39747207ZD0900X
GA65280207ZD0900X
LAMD202065207ZD0900X
AL28031207ZD0900X
FLME109290207ND0900X
ARE6949207ND0900X
CAA117138207ZD0900X
NJ25MA08898700207ZD0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZD0900XAllopathic & Osteopathic PhysiciansPathologyDermatopathology
No207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51136315OtherBLUE CROSS
AL102I221523Medicare PIN