Active NPIIndividual provider

Samuel J Scruggs, MD

Preventive Medicine, Undersea and Hyperbaric Medicine in Groton, Connecticut

NPI Number1962269621
Practice location
1 Wahoo Ave Bldg 449, Groton, CT 06349-2324
Fax
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Last updated
September 10, 2026

Samuel Joseph Scruggs is a Preventive Medicine, Undersea and Hyperbaric Medicine based in Groton, CT. Samuel Joseph Scruggs practices in Groton, CT and has the professional credentials of MD. The NPI Number for Samuel Joseph Scruggs is 1962269621 and holds a License No. 0101286719 (VA). The current practice location address for Samuel Joseph Scruggs is 1 Wahoo Ave Bldg 449, Groton, CT 06349-2324 and can be reached out via phone at 860-694-3743.

Provider Profile Details

NPI Number
1962269621
Provider Name
Samuel Joseph Scruggs
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1 Wahoo Ave Bldg 449, Groton, CT 06349-2324
Phone Number
860-694-3743
Sole Proprietor
No
Provider Enumeration Date
February 29, 2024
Last Update Date
September 10, 2026
Certification Date
September 10, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Wahoo Ave Bldg 449
Groton, CT 06349-2324
City
Groton
Zip
06349-2324
Phone Number
860-694-3743
Groton, CT 06349Get directions →

Provider Business Mailing Address Details

Address
1 Wahoo Ave Bldg 449
Groton, CT 06349-2324
City
Groton
State
CT
Zip
06349-2324
Phone Number
860-694-3743

License Information

License Number
0101286719
License State
VA

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Samuel J Scruggs, MD?

The NPI number of Samuel J Scruggs, MD is 1962269621. It was assigned on February 29, 2024 and is currently active in the NPPES registry.

What is the specialty of Samuel J Scruggs, MD?

Samuel J Scruggs, MD is registered under the primary taxonomy Preventive Medicine, Undersea and Hyperbaric Medicine (code 2083P0011X), licensed in VA under license number 0101286719.

Where does Samuel J Scruggs, MD practice?

The practice location is 1 Wahoo Ave Bldg 449, Groton, CT 06349-2324. The office can be reached at 860-694-3743 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1962269621 directly on the NPPES registry website.

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