1760454995 NPI number — DR. KEITH GREGG SCOTT DC

Table of content: DR. KEITH GREGG SCOTT DC (NPI 1760454995)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1760454995 NPI number — DR. KEITH GREGG SCOTT DC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SCOTT
Provider First Name:
KEITH
Provider Middle Name:
GREGG
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DC
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:
1760454995
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/28/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9601 PULASKI PARK DR
Provider Second Line Business Mailing Address:
SUITE 416
Provider Business Mailing Address City Name:
BALTIMORE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21220-1409
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-933-5678
Provider Business Mailing Address Fax Number:
410-933-1823

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2568A RIVA RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ANNAPOLIS
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21401-7445
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-571-9500
Provider Business Practice Location Address Fax Number:
410-573-9419
Provider Enumeration Date:
02/02/2006

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: 111N00000X , with the licence number:  S01440 , 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: 1512246 . This is a "CAQH" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 529005 . This is a "CAREFIRST" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com