Maria Mascolo (NPI# 1194793042, PAC ID# 4284770488) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PULMONARY DISEASE.
| Nation Provider ID (NPI) | 1194793042 |
| PAC ID by PECOS | 4284770488 |
| Professional Enrollment ID | I20091001000102 |
| Full Name | Maria Mascolo |
| Organization Legal Name | SOUTHEAST LUNG AND CRITICAL CARE SPECIALISTS, PC |
| Address |
209 A Mims Rd Sylvania GA 30467-1994 |
| Gender | F |
| Medical School | UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | PULMONARY DISEASE |
| Secondary Specialties | CRITICAL CARE (INTENSIVISTS), SLEEP MEDICINE |
| Group Practice PAC ID | 7618962291 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 111306 | EFFINGHAM HEALTH SYSTEM |
| 111312 | OPTIM MEDICAL CENTER - SCREVEN |
| 110024 | CANDLER HOSPITAL |
| 110043 | ST JOSEPH'S HOSPITAL - SAVANNAH |
| 110036 | MEMORIAL UNIVERSITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 131 Silverwood Ct, Suite 100, Rincon, GA 31326-5131 | 9128263927 | SOUTHEAST LUNG AND CRITICAL CARE SPECIALISTS, PC |
| 5353 Reynolds St, Savannah, GA 31405-6015 | 9126292290 | SOUTHEAST LUNG AND CRITICAL CARE SPECIALISTS, PC |
| 459 Ga Hwy 119 S, Springfield, GA 31329-3021 | 9128263927 | SOUTHEAST LUNG AND CRITICAL CARE SPECIALISTS, PC |
| 209 A Mims Rd, Sylvania, GA 30467-1994 | SOUTHEAST LUNG AND CRITICAL CARE SPECIALISTS, PC |
| Organization Legal Name | SOUTHEAST LUNG AND CRITICAL CARE SPECIALISTS, PC |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles Adam Mccoy | Pulmonary Disease | Southeast Lung and Critical Care Specialists, PC | 131 Silverwood Ct, Suite 100, Rincon, GA 31326-5131 |
| Michael A Errico | Nephrology | Southeast Lung and Critical Care Specialists, PC | 12 B Arley Way, Suite 102, Bluffton, SC 29910-4883 |
| Ryan B Moody | Pulmonary Disease | Southeast Lung and Critical Care Specialists, PC | 601 E Genral Stewart Way, Hinesville, GA 31313-2627 |
| Obaid Rehman | Pulmonary Disease | Southeast Lung and Critical Care Specialists, PC | 340 Hodgson Ct, Suite 2, Savannah, GA 31406-1523 |
| James A Daly Iii | Pulmonary Disease | Southeast Lung and Critical Care Specialists, PC | 405 E Long St, Claxton, GA 30417-1443 |
| Randall Brian Evans | Pulmonary Disease | Southeast Lung and Critical Care Specialists, PC | 23 Main St, Suite 202, Hilton Head, SC 29926-1648 |
| Masood Ahmed | Pulmonary Disease | Southeast Lung and Critical Care Specialists, PC | 5353 Reynolds St, Savannah, GA 31405-6015 |
| Michael D Mullins | Pulmonary Disease | Southeast Lung and Critical Care Specialists, PC | 405 E Long St, Claxton, GA 30417-1443 |
| Athena J Fountain | Nurse Practitioner | Southeast Lung and Critical Care Specialists, PC | 340 Hodgson Ct, Savannah, GA 31406-1523 |
| Craig Anthony Schuring | Pulmonary Disease | Southeast Lung and Critical Care Specialists, PC | 340 Hodgson Ct, Suite 2, Savannah, GA 31406-1523 |
| Street Address |
209 A MIMS RD |
| City | SYLVANIA |
| State | GA |
| Zip | 30467-1994 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Priscilla G Thomas | General Surgery | Metro Surgical PC | 209 Mims Rd C, Sylvania, GA 30467-1994 |
| Sherma Peter | Family Medicine | Screven County Hospital LLC | 211 Mims Rd, Sylvania, GA 30467-1994 |
| Burton D Goodwin | Diagnostic Radiology | South Georgia Radiology Associates LLC | 215 Mims Rd, Sylvania, GA 30467-1994 |
| John W Odom | General Surgery | Metro Surgical PC | 209 Mims Rd C, Sylvania, GA 30467-1994 |
| Joshua P Smith | Diagnostic Radiology | South Georgia Radiology Associates LLC | 215 Mims Rd, Sylvania, GA 30467-1994 |
| Jason R Pearce | Diagnostic Radiology | South Georgia Radiology Associates LLC | 215 Mims Rd, Sylvania, GA 30467-1994 |
| Kendall Kent-clark | Nurse Practitioner | Screven County Hospital LLC | 211 Mims Rd, Sylvania, GA 30467-1994 |
| Karen B Anderson | Nurse Practitioner | Screven County Family Health Center LLC | 105 Rocky Ford Rd, Sylvania, GA 30467-2027 |
| Sidney James Morgan Iii | Family Medicine | Screven County Family Health Center LLC | 105 Rocky Ford Rd, Sylvania, GA 30467-2027 |
| Christy S Powell | Chiropractic | Screven Chiropractic Inc. | 104 Rocky Ford Rd, Sylvania, GA 30467-2044 |
| Find all physicians in zip 30467 | |||
| City | SYLVANIA |
| Zip Code | 30467 |
| Specialty | PULMONARY DISEASE |
| City + Specialty | SYLVANIA + PULMONARY DISEASE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.