Provider Demographics
NPI:1194046334
Name:SCRIPKO, PATRICIA D (MD)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:D
Last Name:SCRIPKO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:490 CADMUS LN
Mailing Address - Street 2:STE 102
Mailing Address - City:EASTON
Mailing Address - State:MD
Mailing Address - Zip Code:21601-4091
Mailing Address - Country:US
Mailing Address - Phone:831-649-1000
Mailing Address - Fax:
Practice Address - Street 1:1033 LOS PALOS DR
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-3916
Practice Address - Country:US
Practice Address - Phone:831-757-2058
Practice Address - Fax:831-758-0232
Is Sole Proprietor?:No
Enumeration Date:2010-06-22
Last Update Date:2018-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAL-244146207R00000X
CAA1300172084N0400X
MDD843532084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine