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NPI Code Detail

MEDICARE: DR. SCOTT D. JEROME D.O.

MEDICARE: DR. SCOTT D. JEROME D.O.
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
1207RC0000XCardiovascular Disease PhysicianH0039447MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1521611-11OTHERMDCAREFIRST - MD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3S062-0326OTHERMDCAREFIRST - REGIONAL

General Provider Information

NPI Number : 1942203245
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SCOTT D. JEROME D.O.
Provider Business Mailing Address
First Line : PO BOX 64442
Second Line :
City : BALTIMORE
State : MD
Zip : 21264-4442
Country : US
Telephone Number : 410-328-5793
Fax Number : 410-328-0248
Provider Business Practice Location Address
First Line : 118 WESTMINSTER PIKE
Second Line :
City : REISTERSTOWN
State : MD
Zip : 21136-1060
Country : US
Telephone Number : 410-876-0086
Fax Number : 410-702-7168
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2005
Last Update Date : 03/06/2025

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