1740312156 NPI number — SCOTT M STEPPA MD

Table of content: SCOTT M STEPPA MD (NPI 1740312156)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740312156 NPI number — SCOTT M STEPPA MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STEPPA
Provider First Name:
SCOTT
Provider Middle Name:
M
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1740312156
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/18/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2931 E BIDDLE ST
Provider Second Line Business Mailing Address:
PATIENT ACCOUNTING
Provider Business Mailing Address City Name:
BALTIMORE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21213-3939
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
443-923-1886
Provider Business Mailing Address Fax Number:
443-923-1895

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2324 W JOPPA RD STE 420
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LUTHERVILLE TIMONIUM
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21093-4620
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-296-3448
Provider Business Practice Location Address Fax Number:
410-321-9537
Provider Enumeration Date:
03/12/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X , with the licence number:  D48060 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 932201900 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".




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