Active NPI
Scruggs Podiatry, PC
- Primary Podiatric Medicine Podiatrist
- Pikesville, MD
National Provider Identifier
1376314393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- Legal business name
- SCRUGGS PODIATRY, PC
- Practice address
- 19 Walker Ave Ste 200
Pikesville, MD 21208-4078 - Phone
- (410) 653-7744
- Fax
- (410) 653-7745
- NPI assigned
- Jan 9, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ditra Stanford-Scruggs
- Title
- Podiatrist
- Phone
- (410) 653-7744
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | Primary |
Addresses
Primary practice location
19 Walker Ave Ste 200
Pikesville, MD 21208-4078
Mailing address
19 Walker Ave Ste 200
Pikesville, MD 21208-4078
Phone (410) 653-7744
National Provider Directory
National Provider Directory- Tax ID family
- Scruggs Podiatry PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Podiatrist
- Pikesville, MD
- NPI 1295917987
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Pikesville, MD
- NPI 1134192834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704758400000",
"number": "1376314393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 WALKER AVE STE 200",
"city": "PIKESVILLE",
"state": "MD",
"postal_code": "212084078",
"telephone_number": "410-653-7744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 WALKER AVE STE 200",
"city": "PIKESVILLE",
"state": "MD",
"postal_code": "212084078",
"telephone_number": "410-653-7744",
"fax_number": "410-653-7745"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCRUGGS PODIATRY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-09",
"last_updated": "2024-01-09",
"certification_date": "2024-01-09",
"status": "A",
"authorized_official_last_name": "STANFORD-SCRUGGS",
"authorized_official_first_name": "DITRA",
"authorized_official_title_or_position": "PODIATRIST",
"authorized_official_telephone_number": "410-653-7744"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pikesville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.