Active NPI
Mark Joseph Pascuzzi, M.D.
- Obstetrics & Gynecology Physician
- Winchester, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 22056
- Practice address
- 225 Hospital Dr
BLDG B, Ste 255
Winchester, KY 40391-7676 - Phone
- (859) 744-2623
- Fax
- (859) 744-9421
- NPI assigned
- May 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 22056 | KY | Primary |
Addresses
Primary practice location
225 Hospital Dr
BLDG B, Ste 255
Winchester, KY 40391-7676
Mailing address
225 Hospital Dr
BLDG B, Ste 255
Winchester, KY 40391-7676
Phone (859) 744-2623
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000049460 | Other | KY | BCBS |
| 64220569 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Pennsylvania State University College of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
44 Water St
Owingsville, KY 40360-8944
Phone (606) 674-9776
455 Bullion Blvd
Winchester, KY 40391-2933
Phone (859) 744-2623
Hospital & facility affiliations
- Clark Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22056 | KY | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sterling Health Solutions Inc | Current | Accepting new patients | |
| Sterling Health Solutions, Inc | Current | Accepting new patients |
Locations
209 N Maysville St
Ste 200
Mt Sterling, KY 40353
Phone (859) 404-4686
44 Water St
Owingsville, KY 40360
Phone (606) 674-9776
225 Hospital Dr
Ste 255
Winchester, KY 40391
Phone (859) 744-2623
455 Bullion Blvd
Winchester, KY 40391
Phone (859) 744-2623
Interoperability endpoints
- clrk_-_mark_pascuzzi_-_physician@yourcarecommunity.org
- mark.pascuzzi.1@25737.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Mount Sterling, KY
- NPI 1366790099
-
- Federally Qualified Health Center (FQHC)
- Paris, KY
- NPI 1346087970
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winchester, KY
- NPI 1811213994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1033164207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 HOSPITAL DR",
"address_2": "BLDG B, STE 255",
"city": "WINCHESTER",
"state": "KY",
"postal_code": "403917676",
"telephone_number": "859-744-2623",
"fax_number": "859-744-9421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 HOSPITAL DR",
"address_2": "BLDG B, STE 255",
"city": "WINCHESTER",
"state": "KY",
"postal_code": "403917676",
"telephone_number": "859-744-2623",
"fax_number": "859-744-9421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASCUZZI",
"first_name": "MARK",
"middle_name": "JOSEPH",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2023-03-07",
"certification_date": "2020-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "KY",
"license": "22056",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000000049460",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64220569",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winchester, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.