Provider Demographics
NPI:1740286673
Name:SCARPONE, MICHAEL (DO)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:SCARPONE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:380 SUMMIT AVE
Mailing Address - Street 2:MSO PHYSICIAN BILLING
Mailing Address - City:STEUBENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43952-2667
Mailing Address - Country:US
Mailing Address - Phone:740-283-7597
Mailing Address - Fax:740-283-7190
Practice Address - Street 1:3151 JOHNSON RD STE 2
Practice Address - Street 2:
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-2362
Practice Address - Country:US
Practice Address - Phone:740-266-3866
Practice Address - Fax:740-266-3865
Is Sole Proprietor?:No
Enumeration Date:2005-06-24
Last Update Date:2020-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA05007044E207RS0010X
WV1113207RS0010X
OH34-0043305207RS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0010XAllopathic & Osteopathic PhysiciansInternal MedicineSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0671732Medicaid
OH250008191OtherRR MEDICARE
PA10008658340001Medicaid
OHSC0648258Medicare ID - Type Unspecified
OH0671732Medicaid
PA10008658340001Medicaid
PA403723PK7Medicare ID - Type Unspecified
E69311Medicare UPIN
OH9285544Medicare PIN