Individual
MARK SCOTT JASMINE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
354 COPPERFIELD BLVD NE, CONCORD, NC 28025-2402
(704) 788-3155
(704) 785-8302
Mailing address
PO BOX 1606, CONCORD, NC 28026-6002
(704) 788-3155
(704) 785-8302
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
28052
NC
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
28052
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0825076004
CIGNA HEALTHCARE
—
01
—
0941048
UNITED HEALTHCARE
—
01
—
140895
ONE HEALTH PLAN
—
01
—
2069463
AETNA US HEALTHCARE
—
01
—
22924
PARTNERS MEDICARE
—
01
—
25928
MEDCOST
—
01
—
4066545
AETNA HMO PPO
—
01
—
45845
BCBS OF NC
—
01
—
530004
PRINCIPAL HEALTHCARE
—
Enumeration date
12/23/2005
Last updated
09/11/2025
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