MEDICARE: PAMELA K. MASON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	0101227541	VA
2	207RC0001X	Clinical Cardiac Electrophysiology Physician	0101227541	VA

General Provider Information

NPI Number	:	1154310605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAMELA K. MASON M.D.

Provider Business Mailing Address
First Line	:	PO BOX 9007
Second Line	:
City	:	CHARLOTTESVILLE
State	:	VA
Zip	:	22906-9007
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 RAY C HUNT DR
Second Line	:
City	:	CHARLOTTESVILLE
State	:	VA
Zip	:	22903-2981
Country	:	US
Telephone Number	:	434-243-1000
Fax Number	:	434-244-7551

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2005
Last Update Date	:	08/10/2023

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