Active NPI
Lorry C Krous, MD
- Neonatal-Perinatal Medicine Physician
- Oklahoma City, OK
National Provider Identifier
1215996335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 21271
- Practice address
- 4300 W Memorial Rd
Oklahoma City, OK 73120-8304 - Phone
- (405) 579-1444
- NPI assigned
- Mar 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 21271 | OK | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 21271 | OK | Primary |
Addresses
Primary practice location
4300 W Memorial Rd
Oklahoma City, OK 73120-8304
Mailing address
4722 N 24TH St
Suite 150
Phoenix, AZ 85016-4800
Phone (877) 737-4546
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100097570A | Medicaid | OK |
Other names 1
- Lorry C Stayton
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital Oklahoma City, Inc | Past | Accepting new patients | |
| Norman Regional Hospital Authority | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1184721722
-
- General Acute Care Hospital
- Norman, OK
- NPI 1700882578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456444800000",
"number": "1215996335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4722 N 24TH ST",
"address_2": "SUITE 150",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850164800",
"telephone_number": "877-737-4546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 W MEMORIAL RD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731208304",
"telephone_number": "405-579-1444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KROUS",
"first_name": "LORRY",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-18",
"last_updated": "2016-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OK",
"license": "21271",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "OK",
"license": "21271",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100097570A",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LORRY",
"last_name": "STAYTON",
"middle_name": "C",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.