SCOTT J CRYDER, PA-C, Surgical LOGAN, OH

Contact Information

SCOTT J CRYDER, PA-C

819 STATE ROUTE 664 N
LOGAN, OH 43138

Phone: 740-380-8140
Fax: 740-380-8150
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgical	363AS0400X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for SCOTT J CRYDER · (Male)

NPI #	`1215018205`
Status	Active
Credentials	PA-C (Physician Assistant-Certified)
Entity	Individual
Enumeration date	10/18/2006
Last updated	02/01/2021 - About 5 years ago
Sole proprietor ¹	No
Identifiers	OH License # 50002332 OH Medicaid 2330150 OH Other 000000547134 ANTHEM OH Other 2553018 UHC
Hospital affiliation(s)	GREENE MEMORIAL HOSPITAL - (Acute Care) 1141 NORTH MONROE DRIVE XENIA, OH 45385 SOIN MEDICAL CENTER,INDU & RAJ SOIN MEDICAL CENTER - (Acute Care) 3535 PENTAGON PARK BLVD BEAVER CREEK, OH 45431

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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SCOTT J CRYDER, PA-C – NPI #1215018205Surgical

Contact Information

Specialty

Surgical

NPI Profile & details for SCOTT J CRYDER · (Male)

Reviews for SCOTT J CRYDER

SCOTT J CRYDER, PA-C – NPI #1215018205
Surgical