Individual
JIMMY R. MASCARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
312 E ALTA VISTA AVE, OTTUMWA, IA 52501-1413
(641) 683-4454
(641) 683-4450
Mailing address
312 E ALTA VISTA AVE, OTTUMWA, IA 52501-1413
(641) 683-4454
(641) 683-4450
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
3768
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0739672
—
IA
01
—
28586
BCBS
IA
01
—
28587
BCBS OTHER
IA
01
—
IA01J4
UHC
IA
Enumeration date
11/14/2006
Last updated
10/16/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us