Jimmy R. Mascaro is a Psychiatry in Ottumwa, Iowa. Jimmy R. Mascaro practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Jimmy R. Mascaro is 1104998251. The last update date is 2007-10-16.
Jimmy R. Mascaro's current location address is 312 E Alta Vista Ave, Ottumwa, Iowa. You can contact this provider via phone number 6416834454 and fax number 6416834450. The mailing address for Jimmy R. Mascaro is 312 E Alta Vista Ave, Ottumwa, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jimmy R. Mascaro |
|---|---|
| Address | 312 E Alta Vista Ave, Ottumwa, Iowa |
| Phone Number | 6416834454 |
| Fax Number | 6416834450 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1104998251 |
|---|---|
| Provider Enumeration Date | 2006-11-14 |
| Last Updated Date | 2007-10-16 |
Provider Mailing Address Detail
| Address | 312 E Alta Vista Ave |
|---|---|
| City | Ottumwa |
| State | Iowa (IA) |
| Post Code | 525011413 |
| Phone Number | 6416834454 |
| Fax Number | 6416834450 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 3768 |
|
Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 28586 | IA | BCBS | |
| 739672 | IA | -- | |
| 28587 | IA | BCBS OTHER | |
| IA01J4 | IA | UHC |
Post Comment/ Review Below
What is the unique identification code assigned to Jimmy R. Mascaro by the Centers for Medicare & Medicaid Services?
The Jimmy R. Mascaro has been issued the NPI (National Provider Identifier) 1104998251. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jimmy R. Mascaro?
The Jimmy R. Mascaro is situated at 312 E Alta Vista Ave, in the city of Ottumwa, state of IA, with the zip code 525011413.
What is Jimmy R. Mascaro's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jimmy R. Mascaro is Psychiatry, and the taxonomy code that categorizes this field of expertise is 2084P0800X.
When was the Jimmy R. Mascaro's 1104998251 issued?
The Jimmy R. Mascaro's 1104998251 was issued on 2006-11-14.
As of what date were the Jimmy R. Mascaro's details last updated?
The information pertaining to the Jimmy R. Mascaro, including its address, specialty, and other details, was most recently updated on 2007-10-16.
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