Provider Demographics
NPI:1790786853
Name:MASCIO, STEPHEN H (DO)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:H
Last Name:MASCIO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1417 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FOLLANSBEE
Mailing Address - State:WV
Mailing Address - Zip Code:26037-1217
Mailing Address - Country:US
Mailing Address - Phone:304-527-1670
Mailing Address - Fax:304-527-1672
Practice Address - Street 1:1417 MAIN ST
Practice Address - Street 2:
Practice Address - City:FOLLANSBEE
Practice Address - State:WV
Practice Address - Zip Code:26037-1217
Practice Address - Country:US
Practice Address - Phone:304-527-1670
Practice Address - Fax:304-527-1672
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-10
Last Update Date:2012-07-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WV1439207Q00000X
OH34006186207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000667AOtherUPMC
WV66588OtherCARELINK HEALTH PLANS
WV9999OtherMUTUAL OF OMAHA COMPANIES
OH000000319438OtherANTHEM BCBS
PA001464699OtherHIGHMARK BLUE CROSS
WV001705867OtherMSBCBS
WV020643708OtherWORKER'S COMPENSATION
OH02064370800Other1-888-OHIO COMP
OH02064370800OtherMANAGED MEDICAL ASSURANCE
OH02064370800OtherCOMPMANAGEMENT HEALTH SYSTEM
PA104698OtherUPMC
WV1060493OtherSEDGWICK CLAIMS MANAGEMENT SERVICES, INC.
OH020643708 A01OtherMEDICAL MUTUAL
OH020643708001OtherMEDICAL MUTUAL
205314OtherCARELINK HEALTH PLANS
279582OtherMAMSI
OH000000117353OtherUNISON HEALTH PLAN
OH02064370800OtherWORKER'S COMPENSATION
OH02064370800OtherCOMPMANAGEMENT
0206437080001OtherCIGNA
G01439AOtherTHE HEALTH PLAN
PA001464699OtherBLUE SHIELD
104698OtherUPMC
205314OtherADVANTRA FREEDOM
OHG01439AOtherHEALTH PLAN MANAGED WORKER'S
OH000000117353OtherTHREE RIVERS PROV
WV001705867OtherBLUE SHIELD
OH0242277Medicaid
080191603OtherRRW MEDICARE
PA1509863OtherGATEWAY HEALTH PLAN
WV3003385000Medicaid
104698OtherUPMC
WV66588OtherCARELINK HEALTH PLANS