Individual
DR. JASON MATTHEW SCOPP
Active
Individual
DR. JASON MATTHEW SCOPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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