KODY SCRUGGS (NPI# 1861988289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861988289 |
| Entity Type | Individual |
| Full Name | KODY SCRUGGS |
| Practice Address |
8035 Memorial Blvd Ste B Port Arthur TX 77640-7002 |
| Mailing Address |
2900 Bernhardt Dr Port Arthur TX 77642-1956 |
| Practice Telephone | 4093449307 |
| Mailing Telephone | 4099627835 |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2018-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP137947 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8035 MEMORIAL BLVD STE B |
| City | PORT ARTHUR |
| State | TX |
| Zip Code | 77640-7002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811495575 | Total Care Medical, Pllc | Clinic/Center | 8035 Memorial Blvd Ste B, Port Arthur, TX 77640 | 2018-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275031676 | Grupo Segovia Sc | Specialist | 101 Calle Primera Sur, Adolfo Lopez Mateos, Cozumel, QUINTANA ROO 77640 | 2018-01-31 |
| 1750805586 | Bv Continuing Care Center Ltd. Co. | Skilled Nursing Facility | 8595 Medical Center Blvd., Port Arthur, TX 77640 | 2017-08-02 |
| 1053840561 | Centro Medico De Cozumel Sa De Cv | General Acute Care Hospital | Calle 1ra Sur No. 101 Adolfo Lopez Mateo, Cozumel, QUINTANA ROO 77640 | 2017-06-08 |
| 1306391719 | Hector Trevino | Dentist | 2780 Fm 365, Port Arthur, TX 77640 | 2016-08-16 |
| 1316325616 | Gulfside Dental Port Arthur Pllc | Dentist | 2780 Hwy 365, Suite C, Port Arthur, TX 77640 | 2015-05-07 |
| 1962894782 | Chris Hale | Specialist/Technologist, Other | 6361 Katy Av, Port Arthur, TX 77640 | 2015-03-03 |
| 1396157681 | Jack 1 Foundation Inc. | Day Training, Developmentally Disabled Services | 235 Procter St., Port Arthur, TX 77640 | 2014-05-21 |
| 1205275054 | Gulf Coast Health Center, Inc | Clinic/Center | 601 Rev Ransom Howard, Bldg B, Port Arthur, TX 77640 | 2013-06-14 |
| 1285909432 | Costamed | General Acute Care Hospital | Calle Primera Sur No. 101, Cozumel, QR 77640 | 2012-03-20 |
| 1093941544 | Lindsay Denice Shafer | Audiologist | 2501 Jimmy Johnson Blvd Ste 306, Port Arthur, TX 77640 | 2009-06-10 |
| Find all providers in zip 77640 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740819689 | Taylored Family Healthcare Services, Pllc | Nurse Practitioner | 6033 Reba Dr, Port Arthur, TX 77640-2151 | 2020-04-03 |
| 1497399463 | Deloris Brannon | Nurse Practitioner | 5138 Lakeside Dr, Port Arthur, TX 77642-1144 | 2019-11-03 |
| 1285292714 | Nichole Tyler | Nurse Practitioner | 8455 9th Ave Ste B, Port Arthur, TX 77642-8021 | 2019-05-30 |
| 1578038527 | Tung Van Hoang | Nurse Practitioner | 806 10th Ave, Port Arthur, TX 77642-3127 | 2018-10-05 |
| 1104301860 | Jennifer Vandehoef | Nurse Practitioner | 8333 9th Ave Ste B, Port Arthur, TX 77642-8151 | 2018-09-28 |
| 1710404637 | Lanbake, LLC | Nurse Practitioner | 8480 Central Mall Dr, Port Arthur, TX 77642-8001 | 2017-08-23 |
| 1104363225 | Anasha Bush Butler | Nurse Practitioner | 1 Plaza Sq Ste 107, Port Arthur, TX 77642-5537 | 2017-01-26 |
| 1942686035 | Michael Mitchell | Nurse Practitioner | 4200 Willow Bend Ln, Port Arthur, TX 77642-7231 | 2015-07-31 |
| 1811969025 | Leah Anne Mcgee | Nurse Practitioner | 3758 Park Plaza Circle, Port Arthur, TX 77642-5205 | 2006-02-02 |
| 1174522312 | Keli An Lanclos | Nurse Practitioner | 8480 Central Mall Drive, Port Arthur, TX 77642 | 2005-07-19 |
| Find all providers in PORT ARTHUR | ||||
| City | PORT ARTHUR |
| Zip Code | 77640 |
Please comment or provide details below to improve the information on KODY SCRUGGS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.