Individual
THOMAS G MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
740 E STATE ST, SHARON, PA 16146-3328
(724) 983-7310
(724) 983-2797
Mailing address
4135 BOARDMAN CANFIELD RD STE 101, CANFIELD, OH 44406-9803
(330) 286-5330
(330) 286-5396
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN601560
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000600751
ANTHEM BCBS
OH
01
—
11943849
CAQH
—
01
—
135081ZB29
MEDICARE PTAN
PA
05
—
2337340
—
OH
01
—
P00719225
MEDICARE RAILROAD
PA
Enumeration date
05/24/2006
Last updated
06/26/2019
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