Corey J Scruggs (NPI# 1356359053, PAC ID# 5395775449) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1356359053 |
| PAC ID by PECOS | 5395775449 |
| Professional Enrollment ID | I20050817001190 |
| Full Name | Corey J Scruggs |
| Organization Legal Name | LAVACA HOSPITAL DISTRICT |
| Address |
1400 N Texana Hallettsville TX 77964-2021 |
| Phone Number | 3617983671 |
| Gender | M |
| Credential | MD |
| Medical School | MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | INTERVENTIONAL CARDIOLOGY |
| Group Practice PAC ID | 1153211750 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450023 | CITIZENS MEDICAL CENTER |
| 451376 | LAVACA MEDICAL CENTER |
| 451363 | JACKSON HEALTHCARE CENTER |
| 451356 | MEMORIAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1400 N Texana, Hallettsville, TX 77964-2021 | 3617983671 | LAVACA HOSPITAL DISTRICT |
| 2700 Citizens Plz, Suite 300, Victoria, TX 77901-5757 | 3615730756 | CITIZENS MEDICAL CENTER COUNTY OF VICTORIA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_006_overall | Coronary Artery Disease (CAD): Antiplatelet Therapy | 81% |
| Organization Legal Name | LAVACA HOSPITAL DISTRICT |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ramon Cantu | Family Medicine | Lavaca Hospital District | 1400 N Texana, Hallettsville, TX 77964-2021 |
| Kris Allen Ford | Podiatry | Lavaca Hospital District | 1400 N Texana, Hallettsville, TX 77964-2021 |
| Eddie C Lowe | Family Medicine | Lavaca Hospital District | 1400 N Texana, Hallettsville, TX 77964-2021 |
| Loren Owensby | Gastroenterology | Lavaca Hospital District | 1400 N Texana, Hallettsville, TX 77964-2021 |
| Stuart Raymond Quartemont | Family Medicine | Lavaca Hospital District | 1400 N Texana, Hallettsville, TX 77964-2021 |
| Mary E Elhardt | Family Medicine | Lavaca Hospital District | 1400 N Texana, Hallettsville, TX 77964-2021 |
| Joseph R Mantheiy Iii | Emergency Medicine | Lavaca Hospital District | 1400 N Texana, Hallettsville, TX 77964-2021 |
| Roy G Bryan | Emergency Medicine | Lavaca Hospital District | 1400 N Texana, Hallettsville, TX 77964-2021 |
| James Michael Orms | Emergency Medicine | Lavaca Hospital District | 1400 N Texana, Hallettsville, TX 77964-2021 |
| Lauren K Kutac | Nurse Practitioner | Lavaca Hospital District | 1400 N Texana, Hallettsville, TX 77964-2021 |
| Street Address |
1400 N TEXANA |
| City | HALLETTSVILLE |
| State | TX |
| Zip | 77964-2021 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ramon Cantu | Family Medicine | Lavaca Hospital District | 1400 N Texana, Hallettsville, TX 77964-2021 |
| Kris Allen Ford | Podiatry | Lavaca Hospital District | 1400 N Texana, Hallettsville, TX 77964-2021 |
| Eddie C Lowe | Family Medicine | Lavaca Hospital District | 1400 N Texana, Hallettsville, TX 77964-2021 |
| Loren Owensby | Gastroenterology | Lavaca Hospital District | 1400 N Texana, Hallettsville, TX 77964-2021 |
| Stuart Raymond Quartemont | Family Medicine | Lavaca Hospital District | 1400 N Texana, Hallettsville, TX 77964-2021 |
| Mary E Elhardt | Family Medicine | Lavaca Hospital District | 1400 N Texana, Hallettsville, TX 77964-2021 |
| Joseph R Mantheiy Iii | Emergency Medicine | Lavaca Hospital District | 1400 N Texana, Hallettsville, TX 77964-2021 |
| Roy G Bryan | Emergency Medicine | Lavaca Hospital District | 1400 N Texana, Hallettsville, TX 77964-2021 |
| James Michael Orms | Emergency Medicine | Lavaca Hospital District | 1400 N Texana, Hallettsville, TX 77964-2021 |
| Lauren K Kutac | Nurse Practitioner | Lavaca Hospital District | 1400 N Texana, Hallettsville, TX 77964-2021 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristen Nicole Gathright | Physician Assistant | Daniel J Ladd Do Pa | 1400 N Texana St, Tru Skin Dermatology, Hallettsville, TX 77964-2021 |
| Christopher N Freytag | Chiropractic | 1400 N Texana St, A, Hallettsville, TX 77964-2021 | |
| Daniel J Ladd Jr. | Dermatology | Daniel J Ladd Do Pa | 1400 N Texana St, Tru Skin Dermatology, Hallettsville, TX 77964-2021 |
| Amanda Leah Robalin | Physician Assistant | Daniel J Ladd Do Pa | 1400 N Texana St, Tru Skin Dermatology, Hallettsville, TX 77964-2021 |
| Maurice Wilkinson | Family Medicine | Lavaca Hospital District | 1400 N Texana, Hallettsville, TX 77964-2021 |
| Stanly Heckrodt | Family Medicine | Lavaca Hospital District | 1400 N Texana, Hallettsville, TX 77964-2021 |
| Will U Ibanga | Family Medicine | Lavaca Hospital District | 1400 N Texana, Hallettsville, TX 77964-2021 |
| Morgan W Heck | Family Medicine | Lavaca Hospital District | 1400 N Texana, Hallettsville, TX 77964-2021 |
| Carleton K Thompson Jr. | Gastroenterology | Lavaca Hospital District | 1400 N Texana, Hallettsville, TX 77964-2021 |
| Prameela Yoganandan | Hospitalist | Lavaca Hospital District | 1400 N Texana, Hallettsville, TX 77964-2021 |
| Find all physicians in zip 77964 | |||
| City | HALLETTSVILLE |
| Zip Code | 77964 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | HALLETTSVILLE + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Corey J Scruggs.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.