Organization Active NPI

Scruggs Podiatry, PC

  • Primary Podiatric Medicine Podiatrist
  • Pikesville, MD
National Provider Identifier
1376314393
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
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

Updated by the provider on Jan 9, 2024

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

Authorized official

Name
Ditra Stanford-ScruggsNPI 1134192834
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)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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 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.

Practitioners & affiliated clinicians

Practitioners 1

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

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.

Verify at the official NPI Registry.