Provider Demographics
NPI:1245220292
Name:SCOTT, JASON E (MD)
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:E
Last Name:SCOTT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4000 LINGLESTOWN RD
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17112-1017
Mailing Address - Country:US
Mailing Address - Phone:717-231-8867
Mailing Address - Fax:717-231-8535
Practice Address - Street 1:4000 LINGLESTOWN RD
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17112-1017
Practice Address - Country:US
Practice Address - Phone:717-231-8867
Practice Address - Fax:717-231-8535
Is Sole Proprietor?:No
Enumeration Date:2005-10-21
Last Update Date:2024-09-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD071604L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA423190OtherHIGHMARK BLUE SHIELD
PA2514186OtherAETNA HMO
PA59666 S1QAOtherGEISINGER HEALTH PLAN
PA0018075830001Medicaid
PA01802702OtherCAPITAL BLUE CROSS
PAP002540OtherGATEWAY HEALTH PLAN
PA110208054OtherRAILROAD MEDICARE
PW1519645OtherGATEWAY HEALTH PLAN
PA7953221OtherAETNA NON-HMO
PAH09066OtherHEALTH ASSURANCE
PW1519645OtherGATEWAY HEALTH PLAN