Provider Demographics
NPI:1801094073
Name:CHASKO, NANCY H (MD)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:H
Last Name:CHASKO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-741-8003
Mailing Address - Fax:717-461-7404
Practice Address - Street 1:25 MONUMENT RD
Practice Address - Street 2:SUITE 140
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-5060
Practice Address - Country:US
Practice Address - Phone:717-741-8003
Practice Address - Fax:717-461-7404
Is Sole Proprietor?:No
Enumeration Date:2007-07-10
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD440612207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA306535OtherUNISON-WMG
PA102501689Medicaid
PA1591175OtherGATEWAY-WMG
PA2514548OtherHIGHMARK BCBS-WMG
PA30080794OtherAMERIHEALTH MERCY-WMG
PA415985OtherUPMC-WMG
MD965756OtherCAREFIRST BCBS-WMG
PAP00932646Medicare PIN
PA1991441Medicare PIN