Provider Demographics
NPI:1396803516
Name:SCRIPPS, MATTHEW D (DO)
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:D
Last Name:SCRIPPS
Suffix:
Gender:M
Credentials:DO
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Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:7001 HERITAGE VILLAGE PLZ
Mailing Address - Street 2:#170
Mailing Address - City:GAINESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20155-3065
Mailing Address - Country:US
Mailing Address - Phone:571-248-4620
Mailing Address - Fax:571-248-4374
Practice Address - Street 1:7001 HERITAGE VILLAGE PLZ
Practice Address - Street 2:#170
Practice Address - City:GAINESVILLE
Practice Address - State:VA
Practice Address - Zip Code:20155-3065
Practice Address - Country:US
Practice Address - Phone:571-248-4620
Practice Address - Fax:571-248-4374
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2023-11-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0102201430207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010000513Medicaid
VA010000513Medicaid
VA002382F71Medicare ID - Type Unspecified