Timothy a. Scroggins, MD, Inc.
Organization Active NPI Point of Service · Spencer, OH
NPI 1659544989 · NPPES record last updated Apr 8, 2008
Key facts
- NPI
- 1659544989
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Point of Service 305S00000X
- License
- OH35079345S (OH)
- Legal business name
- TIMOTHY A. SCROGGINS, MD, INC.
- Practice address
- 110 S Jackson St
Suite 8
Spencer, OH 44275-9569 - Phone
- (330) 648-9060
- Fax
- (330) 667-1011
- NPI assigned
- Apr 8, 2008
- Organization subpart
- No
Authorized official
- Name
- Mrs. Charlyn Sue Scroggins
- Title
- Medical Assistant
- Phone
- (330) 648-9060
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Point of Service | 305S00000X | OH35079345S | OH | Yes |
Addresses
Primary practice location
110 S Jackson St
Suite 8
Spencer, OH 44275-9569
Mailing address
5666 Richman Rd
Spencer, OH 44275-9788
Phone (330) 648-9060
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DB2733 | Other | OH | MEDICARE RAILROAD |
| 000000314569 | Other | OH | ANTHEM |
| 5938111 | Other | OH | AETNA |
| 454419230004 | Other | OH | MEDICAL MUTUAL |
| 2275121 | Medicaid | OH |
Other providers in Spencer, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.