Individual provider Active NPI

David M Scoggin, M.D.

  • Family Medicine Physician
  • Lancaster, OH
National Provider Identifier
1891766259
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OH35-05-5843 Issued in OH
Practice address
220 E Walnut St
Lancaster, OH 43130-4464
Phone
(740) 277-6043
Fax
(740) 277-7595
NPI assigned
Feb 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OH35-05-5843 OH Primary

Addresses

Primary practice location

220 E Walnut St
Lancaster, OH 43130-4464

Mailing address

3270 Old Mill Rd NE
Lancaster, OH 43130-9750
Phone (740) 215-3965

Other identifiers 1

IdentifierTypeStateIssuer
0744654MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100512000458 OH Practitioner - Family Practice 4880597095 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio State University College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairfield Community Health CenterGroup PAC ID 9133316805, 21 clinicians

Practice addresses (Care Compare)

220 E Walnut St
Lancaster, OH 43130-4464
Phone 74027760431318

Hospital & facility affiliations

  • Fairfield Medical Center Hospital, Lancaster, OH, CCN 360072

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfield Community Health Center CurrentSince Feb 1, 2025 Accepting new patients
Arbor View Family Medicine, Inc. CurrentSince Apr 10, 1997 Accepting new patients
Fairfield Community Health Center CurrentSince Feb 1, 2025 Accepting new patients
Fairfield Community Health Center Past Accepting new patients
Fairfield Medical Center Past Accepting new patients

Locations

1941 W Fair Ave
Lancaster, OH 43130
Phone (740) 277-6050

2405 N Columbus St
Ste 200
Lancaster, OH 43130
Phone (740) 689-3627

220 E Walnut St
Lancaster, OH 43130
Phone (740) 277-6043

Interoperability endpoints

  • Direct secure messaging: dscoggin@avfm.ssdirect.aprima.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1891766259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3270 OLD MILL RD NE",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431309750",
            "telephone_number": "740-215-3965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E WALNUT ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431304464",
            "telephone_number": "740-277-6043",
            "fax_number": "740-277-7595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOGGIN",
        "first_name": "DAVID",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "OH35-05-5843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0744654",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

Verify at the official NPI Registry.