Provider Demographics
NPI:1659720761
Name:MASON HEALTH GROUP PLLC
Entity Type:Organization
Organization Name:MASON HEALTH GROUP PLLC
Other - Org Name:SURGICAL SPECIALISTS OF CAROLINA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JERIMIAH
Authorized Official - Middle Name:E
Authorized Official - Last Name:MASON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:828-585-2575
Mailing Address - Street 1:1998 HENDERSONVILLE RD
Mailing Address - Street 2:SUITE 40
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-2349
Mailing Address - Country:US
Mailing Address - Phone:828-585-2575
Mailing Address - Fax:828-412-4301
Practice Address - Street 1:1998 HENDERSONVILLE RD
Practice Address - Street 2:SUITE 40
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-2349
Practice Address - Country:US
Practice Address - Phone:828-585-2575
Practice Address - Fax:828-412-4301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-09
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty