DR. JASON MATTHEW SCOPP (NPI# 1417023326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417023326 |
| Entity Type | Individual |
| Full Name | DR. JASON MATTHEW SCOPP |
| Credential | MD |
| Practice Address |
1675 Woodbrooke Drive Salisbury MD 21804 |
| Mailing Address |
Po Box 2415 Salisbury MD 21802-2415 |
| Practice Telephone | 4107494154 |
| Practice Fax Number | 4108609583 |
| Mailing Telephone | 4107494154 |
| Mailing Fax Number | 4108609583 |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2008-06-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
D0059913 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | MDIPA OPTIMUM CHOICE | 2104806 | 01 |
| DE | 1000036052 | 05 | |
| AETNA | 3254208 | 01 | |
| US DEPARTMENT OF LABOR | 221921800 | 01 | |
| BCBS PROD FEP BLUE CHOICE | 0012W409 | 01 | |
| MD | 402542300 | 05 | |
| BCBS TRAD PRODUCTS | 62010301H524PE | 01 |
| Street Address |
1675 WOODBROOKE DRIVE |
| City | SALISBURY |
| State | MD |
| Zip Code | 21804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659352375 | John Joseph Greco | Orthopaedic Surgery | 1675 Woodbrooke Drive, Salisbury, MD 21804 | 2005-11-09 |
| 1336217082 | Robert Scott Becker | Physician Assistant | 1675 Woodbrooke Drive, Salisbury, MD 21804 | 2006-12-01 |
| 1669548574 | Walton Francis Reddish | Nurse Practitioner | 1675 Woodbrooke Drive, Salisbury, MD 21804 | 2006-11-24 |
| 1871669796 | Kevin Ronald Mull | Physician Assistant | 1675 Woodbrooke Drive, Salisbury, MD 21804 | 2006-11-24 |
| 1184790008 | Eric Wright Eaton | Physician Assistant | 1675 Woodbrooke Drive, Salisbury, MD 21804 | 2006-11-24 |
| 1730295098 | Peninsula Orthopaedic Associates Pa | Durable Medical Equipment & Medical Supplies | 1675 Woodbrooke Drive, Salisbury, MD 21804 | 2006-08-21 |
| 1639191687 | Richard Kang | Orthopaedic Surgery | 1675 Woodbrooke Drive, Salisbury, MD 21804 | 2006-07-25 |
| 1437175536 | Jessica Marie Dunn | Physician Assistant | 1675 Woodbrooke Drive, Salisbury, MD 21804 | 2006-07-14 |
| 1114942539 | James Andrew Trauger | Orthopaedic Surgery | 1675 Woodbrooke Drive, Salisbury, MD 21804 | 2006-07-13 |
| 1497736128 | Eric Howard Franks | Orthopaedic Surgery | 1675 Woodbrooke Drive, Salisbury, MD 21804 | 2005-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578125969 | Lifes Energy Wellness Center Inc. | Community/Behavioral Health | 2324 West Zion Road Suite, Suite 112, Salisbury, MD 21804 | 2019-07-05 |
| 1578125340 | Lifes Energy Wellness Center Inc. | Counselor | 2324 West Zion Road Suite 112, Suite 112, Salisbury, MD 21804 | 2019-07-02 |
| 1093377855 | Lifes Energy Wellness Center Inc. | Clinic/Center | 2324 West Zion Road Suite #112, Salisbury, MD 21804 | 2019-07-02 |
| 1356904874 | Carly Showell Finkbeiner | Behavioral Analyst | 30507 Foxchase Dr, Salisbury, MD 21804 | 2019-04-19 |
| 1750844940 | Clifton Waters | Driver | 206 Davis St, Salisbury, MD 21804 | 2019-04-13 |
| 1487125415 | Rebecca J. Raygor | Social Worker | Wicomico High School, 201 Long Ave., Salisbury, MD 21804 | 2018-12-17 |
| 1639662745 | Peninsula Physical Therapy, LLC | Physical Therapist | 720 E College Ave Ste 11, Salisbury, MD 21804 | 2018-06-13 |
| 1376079533 | Kerry Choplin | Behavior Technician | 8032 Snow Hill Rd., Salisbury, MD 21804 | 2017-05-10 |
| 1558892992 | Three Lower Counties Community Services, Inc. | Clinic/Center | 1647 Woodbrooke Drive, Salisbury, MD 21804 | 2017-03-27 |
| 1508304759 | Driven Physiotherapy, LLC | Clinic/Center | 1029 Zircon Ct., Salisbury, MD 21804 | 2017-02-08 |
| Find all providers in zip 21804 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952812208 | Richard Thomas Travis | Orthopaedic Surgery | 3113 Catrina Ln, Annapolis, MD 21403-4340 | 2017-10-13 |
| 1104180249 | Heather Suzanne York | Orthopaedic Surgery | 10975 Guilford Rd, Annapolis Junction, MD 20701-1125 | 2012-07-03 |
| 1598725442 | Scott P Worrell | Orthopaedic Surgery | 11110 Medical Campus Road, Suite 205, Hagerstown, MD 21742 | 2006-03-24 |
| 1215925128 | Jon D Koman | Orthopaedic Surgery | 116 Westminster Pike, Suite 100, Reisterstown, MD 21136-1027 | 2005-10-13 |
| 1083617625 | Orthopaedic and Sports Medicine Center LLC | Orthopaedic Surgery | 108 Forbes St, Annapolis, MD 21401-1502 | 2005-05-27 |
| 1023665262 | Johns Hopkins University | Orthopaedic Surgery | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2019-08-22 |
| 1811365828 | Lifebridge Community Physicians, Inc | Orthopaedic Surgery | 2401 W Belvedere Ave, Suite 102-104, Baltimore, MD 21215-5216 | 2015-09-08 |
| 1447636048 | Kessous & Kessous Md PC | Orthopaedic Surgery | 800 S Frederick Ave, Ste 100, Gaithersburg, MD 20877-4150 | 2015-08-05 |
| 1245632926 | Orthosurg Physician Assistants of Maryland LLC | Orthopaedic Surgery | 6430 Rockledge Dr, Suite 510, Bethesda, MD 20817-1805 | 2014-09-24 |
| 1437579596 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 5530 Wisconsin Ave, Suite 1660, Chevy Chase, MD 20815 | 2014-04-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.