MEDICARE: SCOTT KRUGER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0003X	Hematology & Oncology Physician	0101052119	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	830003810	OTHER	VA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	39703	OTHER	VA	OPTIMA

General Provider Information

NPI Number	:	1376548057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT KRUGER MD

Provider Business Mailing Address
First Line	:	6350 CENTER DR STE 200
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23502-4107
Country	:	US
Telephone Number	:	757-213-5700
Fax Number	:	757-213-5701

Provider Business Practice Location Address
First Line	:	3000 COLISEUM DR
Second Line	:	SUITE 104
City	:	HAMPTON
State	:	VA
Zip	:	23666-5963
Country	:	US
Telephone Number	:	757-827-9400
Fax Number	:	757-827-9320

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	01/17/2019

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Directions to “ SCOTT KRUGER MD” Practice Location

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