Individual
DR. JASON MATTHEW SCOPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1675 WOODBROOKE DRIVE, SALISBURY, MD 21804
(410) 749-4154
(410) 860-9583
Mailing address
PO BOX 69709, BALTIMORE, MD 21264-9709
(410) 749-4154
(410) 860-9583
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
D0059913
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0012W409
BCBS PROD FEP BLUE CHOICE
—
05
—
1000036052
—
DE
01
—
2104806
MDIPA OPTIMUM CHOICE
MD
01
—
221921800
US DEPARTMENT OF LABOR
—
01
—
3254208
AETNA
—
05
—
402542300
—
MD
01
—
62010301H524PE
BCBS TRAD PRODUCTS
—
Enumeration date
11/24/2006
Last updated
09/04/2025
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