Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Scott J Cryder, PA-C

Individual provider Surgical Physician Assistant · NPI 1215018205

Scott J Cryder, PA-C is a Physician Assistant in Logan, Ohio. Qualified in 2005, 21 years ago. Practices with Kettering Independent Medical Group Inc, a 700-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
21
Licensed in
OH
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

819 State Route 664 N
Logan, OH 43138
Phone: (740) 380-8140
Fax: (740) 380-8150
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 31490 Chieftain Dr, Logan, OH 43138-8420 — (740) 385-8474
  • 1141 N Monroe Dr, Xenia, OH 45385-1619 — (937) 374-4036

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 50002332 (OH)

Record details

NPI number1215018205
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 18, 2006
Last updated in NPPESFebruary 1, 2021
Certification dateFebruary 1, 2021
Mailing addressPo Box 228, Logan, OH 43138-0228

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Kettering Independent Medical Group Inc — 700 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare