MEDICARE: DR. KATHERINE SCRUGGS 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	207V00000X	Obstetrics & Gynecology Physician	MD 30036	TN
2	207V00000X	Obstetrics & Gynecology Physician	0101050787	VA
3	207V00000X	Obstetrics & Gynecology Physician	MD451403	PA

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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528061470
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATHERINE SCRUGGS MD

Provider Business Mailing Address
First Line	:	125 EMERYVILLE DR STE 110
Second Line	:
City	:	CRANBERRY TOWNSHIP
State	:	PA
Zip	:	16066-5020
Country	:	US
Telephone Number	:	412-854-7140
Fax Number	:	412-854-7142

Provider Business Practice Location Address
First Line	:	125 EMERYVILLE DR STE 110
Second Line	:
City	:	CRANBERRY TOWNSHIP
State	:	PA
Zip	:	16066-5020
Country	:	US
Telephone Number	:	412-854-7140
Fax Number	:	412-854-7142

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

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	04/29/2024

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