TIMOTHY A. SCROGGINS MD INC. NPI 1659544989

NPI Information

TIMOTHY A. SCROGGINS, MD, INC. is a point of service in Spencer, OH. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. TIMOTHY A. SCROGGINS, MD, INC. NPI is 1659544989. The provider is registered as an organization entity type.

The provider's business location address is:

110 S JACKSON ST
SUITE 8
SPENCER, OH
ZIP 44275-569
Phone: (330) 648-9060
Fax: (330) 667-1011

The provider's authorized official is Charlyn Sue Scroggins .
The authorized official title is Medical Assistant and has the following contact phone number (330) 648-9060.

The enumeration date for this NPI number is 4/8/2008 and was last updated on 4/8/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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