William Cooper Scurry Jr., M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

MT179394 Issued in PA

Practice address

110 Charlois Blvd
Winston Salem, NC 27103-1522

Phone

(336) 768-3361

Fax

(336) 768-4131

NPI assigned

Apr 20, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Plastic and Reconstructive Surgery

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wcooperscurry@penta.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cooper Scurry Facial Plastic Surgery Center PLLC

  • Facial Plastic Surgery Physician
  • Winston Salem, NC
  • NPI 1508556358
  Medicare reassignment NPD Authorized official
• Piedmont Ear, Nose & Throat Associates, P.a.

  dba Piedmont Ear, Nose, and Throat

  • Otolaryngology Physician
  • Winston Salem, NC
  • NPI 1649216631
  Medicare reassignment NPD
• Charlotte Eye Ear Nose & Throat Associates, P.a.

  • Otolaryngology Physician
  • Winston Salem, NC
  • NPI 1710814405
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329264000000",
    "number": "1114144979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CHARLOIS BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031522",
            "telephone_number": "336-768-3361",
            "fax_number": "336-768-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CHARLOIS BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031522",
            "telephone_number": "336-768-3361",
            "fax_number": "336-768-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCURRY",
        "first_name": "WILLIAM",
        "middle_name": "COOPER",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2012-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MT179394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Grissett Scott, C.N.M.
• Marty B Scott, MD
• Melissa Kiser Scott, PHARMD
• Catherine Marie Scudlo, MD
• Cherryel Sink Scurry
• Jordan Causey Seaback, MD
• Madeline Paige Seagle-Clary, MD
• Cherie Seara, FNP-BC
• Jaron Searcy
• Judith Di Rocco Sears, M.D.

• Otolaryngology Physician in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Otolaryngology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.