NPIMap

Individual provider Active NPI

Jeremy Scranton, PA-C

  • Medical Physician Assistant
  • Odenton, MD
National Provider Identifier
1821760166
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C08179 Issued in MD
Practice address
1130 Annapolis Rd
Odenton, MD 21113-1648
Phone
(410) 672-2255
NPI assigned
Oct 5, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X C0008179 MD
Medical Physician Assistant 363AM0700X C08179 MD Primary

Addresses

Primary practice location

1130 Annapolis Rd
Odenton, MD 21113-1648

Mailing address

1130 Annapolis Rd
Odenton, MD 21113-1648

Other practice location 1

10084 Reisterstown Rd Ste 300A
Owings Mills, MD 21117-4160
Phone (410) 601-2663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211209000304 MD Practitioner - Physician Assistant 1153710181 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

1406 Crain S Hwy 106
Glen Burnie, MD 21061-4086
Phone (410) 768-6440

3001 S Hanover St
Baltimore, MD 21225-1233

9000 Franklin Square Dr
Baltimore, MD 21237-3901
Phone (443) 777-7000

Hospital & facility affiliations

  • Medstar Franklin Square Medical Center Hospital, Rosedale, MD, CCN 210015

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C08179MDMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Maryland Pain Management, LLC CurrentSince Dec 1, 2021 Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince Feb 28, 2022 Accepting new patients
Medstar Medical Group II LLC CurrentSince Jun 27, 2023 Accepting new patients
Lifebridge Community Physicians, Inc CurrentSince Feb 8, 2022 Accepting new patients
Sinai Hospital of Baltimore Inc CurrentSince Feb 28, 2022 Accepting new patients
Lifebridge Community Physicians Inc CurrentSince Feb 8, 2022 Accepting new patients
Greater Maryland Pain Management, LLC CurrentSince Dec 1, 2021 Accepting new patients

Locations

2401 W Belvedere Ave
Baltimore, MD 21215

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

1130 Annapolis Rd
Ste 100
Odenton, MD 21113
Phone (703) 347-1962

10084 Reisterstown Rd
Ste 300A
Owings Mills, MD 21117
Phone (410) 521-2200

410 Malcolm Dr
Ste A
Westminster, MD 21157
Phone (410) 876-1633

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1821760166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 ANNAPOLIS RD",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211131648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 ANNAPOLIS RD",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211131648",
            "telephone_number": "410-672-2255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10084 Reisterstown Rd Ste 300A",
            "address_purpose": "LOCATION",
            "city": "Owings Mills",
            "state": "MD",
            "postal_code": "211174160",
            "country_code": "US",
            "telephone_number": "410-601-2663",
            "fax_number": "667-219-6250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCRANTON",
        "first_name": "JEREMY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-05",
        "last_updated": "2022-08-19",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "MD",
            "license": "C0008179",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C08179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odenton, MD

Sources for this page

Verify at the official NPI Registry.