Provider Demographics
NPI:1992865950
Name:NASON, BARRON S (MD)
Entity Type:Individual
Prefix:
First Name:BARRON
Middle Name:S
Last Name:NASON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 OYSTER ROW
Mailing Address - Street 2:
Mailing Address - City:ISLE OF PALMS
Mailing Address - State:SC
Mailing Address - Zip Code:29451-2724
Mailing Address - Country:US
Mailing Address - Phone:843-425-6496
Mailing Address - Fax:
Practice Address - Street 1:18 OYSTER ROW
Practice Address - Street 2:
Practice Address - City:ISLE OF PALMS
Practice Address - State:SC
Practice Address - Zip Code:29451-2724
Practice Address - Country:US
Practice Address - Phone:843-425-6496
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2015-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC19671207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCC33271OtherPCN
SC2299536OtherCIGNA
SC1530004OtherFIRST HEALTH
SC196718Medicaid
SCD4769OtherMEDCOST
SC20039784OtherSELECT HEALTH
SC1530004OtherFIRST HEALTH
SCD4769OtherMEDCOST