Mary Frances Pascucci, DO

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

OS007234L Issued in PA

Practice address

148 N Sherman CT
Hazleton, PA 18201-5863

Phone

(570) 454-6301

Fax

(570) 454-6815

NPI assigned

Jul 18, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Physicisns Clinical Laboratory

  • Clinical Medical Laboratory
  • Hazleton, PA
  • NPI 1427070440
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447372800000",
    "number": "1841218708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1388",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187040388",
            "telephone_number": "570-288-8881",
            "fax_number": "570-288-8065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 N SHERMAN CT",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182015863",
            "telephone_number": "570-454-6301",
            "fax_number": "570-454-6815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCUCCI",
        "first_name": "MARY",
        "middle_name": "FRANCES",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2015-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PA",
            "license": "OS007234L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016400030005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "950526",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Ortiz, MSN, FNP
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• Edward A Pane, CSW
• Patch Town Emergency Physicians LLC
• Dilipkumar J. Patel, MD
• Minaben Dilipkumar Patel, MD
• Pathway to Everyday Life Human Services Inc
• Pathway to Recovery Counseling & Educational Services

• Anatomic Pathology & Clinical Pathology Physician in Hazleton, PA
• Providers in Hazleton, PA by specialty
• Anatomic Pathology & Clinical Pathology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.