Provider Demographics
NPI:1104988211
Name:JH VENTURES, LLC - SCOTT MAURER MD SERIES
Entity type:Organization
Organization Name:JH VENTURES, LLC - SCOTT MAURER MD SERIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:MAURER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-489-9550
Mailing Address - Street 1:2465 STATE ROUTE 97
Mailing Address - Street 2:SUITE 10
Mailing Address - City:GLENWOOD
Mailing Address - State:MD
Mailing Address - Zip Code:21738-9749
Mailing Address - Country:US
Mailing Address - Phone:410-489-9550
Mailing Address - Fax:410-489-5527
Practice Address - Street 1:2465 STATE ROUTE 97
Practice Address - Street 2:SUITE 10
Practice Address - City:GLENWOOD
Practice Address - State:MD
Practice Address - Zip Code:21738-9749
Practice Address - Country:US
Practice Address - Phone:410-489-9550
Practice Address - Fax:410-489-5527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-14
Last Update Date:2010-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD29909207R00000X, 207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD369411900Medicaid
MDLQ97JHOtherBCBS
MD369411900Medicaid
MDLQ97JHOtherBCBS