Sam Scroggins MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C4664 Issued in AR

Legal business name

SAM SCROGGINS MD PA

Practice address

1002 N Spring St
Harrison, AR 72601

Phone

(870) 741-6373

Fax

(870) 741-5102

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Cathy I Scrogggins

Title

Office Manager

Phone

(870) 741-6373

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Phillip Corey Jackson, MD PA

  • Family Medicine Physician
  • Harrison, AR
  • NPI 1548227481
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1275628596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 N SPRING ST",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "72601",
            "telephone_number": "870-741-6373",
            "fax_number": "870-741-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 N SPRING ST",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "72601",
            "telephone_number": "870-741-6373",
            "fax_number": "870-741-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM SCROGGINS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "SCROGGGINS",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "870-741-6373",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C4664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110143007",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "13888000000",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5B000",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronald Angelo Rubin Rubio, M.D.
• Manuel Stephen Ryan
• William Jeff Ryan
• Sabre Ayers Wright, OD PLLC
• Ashton Salmon
• Cody Sanders
• Danielle Sanders, MHPP
• Amanda L. Saul, M.S. CCC-SLP
• Bailey Makala Savage, APRN
• Justin M Savage, MHPP

• Family Medicine Physician in Harrison, AR
• Providers in Harrison, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.