Scruggs Podiatry, PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

01146 Issued in MD

Legal business name

SCRUGGS PODIATRY, PC

Practice address

19 Walker Ave
Suite #200
Pikesville, MD 21208-4075

Phone

(410) 653-7744

NPI assigned

Dec 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ditra Stanford Scruggs, DPM

Title

Podiatrist

Phone

(410) 653-7744

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Tax ID family

Scruggs Podiatry PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Scruggs Podiatry, PC

  • Primary Podiatric Medicine Podiatrist
  • Pikesville, MD
  • NPI 1376314393
  NPD tax ID

Locations

Practitioners 1

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

• Ditra Stanford-Scruggs, D.P.M.

  • Specialist
  • Pikesville, MD
  • NPI 1134192834
  NPD

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1295917987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 WALKER AVE",
            "address_2": "SUITE #200",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212084075",
            "telephone_number": "410-653-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 WALKER AVE",
            "address_2": "SUITE #200",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212084075",
            "telephone_number": "410-653-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCRUGGS PODIATRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "SCRUGGS",
        "authorized_official_first_name": "DITRA",
        "authorized_official_middle_name": "STANFORD",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "410-653-7744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "01146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiera Deneen Scott
• Scovens & Associates, LLC
• Cyril Maxwell Scovens, LCADC
• Natasha Scriber
• Megan Scribner
• Scruggs Podiatry, PC
• Joi Myel Scruggs
• Sdora Wellbeing LLC
• Sdora Wellbeing LLC
• Guy A. Seeley, P.T.

• Podiatrist in Pikesville, MD
• Providers in Pikesville, MD by specialty
• Podiatrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.