Organization
TIMOTHY A. SCROGGINS, MD, INC.
Active
Organization
TIMOTHY A. SCROGGINS, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARLYN SUE SCROGGINS (MEDICAL ASSISTANT)
(330) 648-9060
Entity
Organization
Contact information
Practice address
110 S JACKSON ST, SUITE 8, SPENCER, OH 44275-9569
(330) 648-9060
(330) 667-1011
Mailing address
5666 RICHMAN RD, SPENCER, OH 44275-9788
(330) 648-9060
(330) 667-1011
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
OH35079345S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000314569
ANTHEM
OH
05
—
2275121
—
OH
01
—
454419230004
MEDICAL MUTUAL
OH
01
—
5938111
AETNA
OH
01
—
DB2733
MEDICARE RAILROAD
OH
Enumeration date
04/08/2008
Last updated
04/08/2008
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