Provider Demographics
NPI:1780632331
Name:SCHOLZ, RICHARD TAYLOR (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:TAYLOR
Last Name:SCHOLZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:515 FAIRMOUNT AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-8518
Mailing Address - Country:US
Mailing Address - Phone:410-494-1377
Mailing Address - Fax:410-584-2246
Practice Address - Street 1:515 FAIRMOUNT AVE STE 110
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-8520
Practice Address - Country:US
Practice Address - Phone:410-494-1377
Practice Address - Fax:410-584-2246
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2020-12-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD25874207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD460481400Medicaid
MDD76686Medicare UPIN
MD157676Medicare PIN
MDH596L355Medicare UPIN
MD157856ZR0ZMedicare PIN
MD460481400Medicaid