NPIMap

Individual provider Active NPI

Scott Samuel Cyrus, D.O.

  • Pediatric Adolescent Medicine Physician
  • Tulsa, OK
National Provider Identifier
1306800362
Registry record updated Apr 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
3025 Issued in OK
Practice address
8803 S 101St East Ave
Ste 200
Tulsa, OK 74133-5726
Phone
(918) 307-2273
Fax
(918) 307-0273
NPI assigned
Apr 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X 3025 OK Primary

Addresses

Primary practice location

8803 S 101St East Ave
Ste 200
Tulsa, OK 74133-5726

Mailing address

8803 S 101St East Ave
Ste 200
Tulsa, OK 74133-5726
Phone (918) 307-2273

Other identifiers 2

IdentifierTypeStateIssuer
100733310AMedicaidOK
100100600DMedicaidOK

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)
Not enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Ahs Southcrest Hospital, LLC Past Accepting new patients
Children & Adolescent Medical Services Inc. Adolescent Medicine Past Accepting new patients
Saint Francis Hospital, Inc. Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301875200000",
    "number": "1306800362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8803 S 101ST EAST AVE",
            "address_2": "STE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335726",
            "telephone_number": "918-307-2273",
            "fax_number": "918-307-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8803 S 101ST EAST AVE",
            "address_2": "STE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335726",
            "telephone_number": "918-307-2273",
            "fax_number": "918-307-0273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CYRUS",
        "first_name": "SCOTT",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2011-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "OK",
            "license": "3025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100733310A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100100600D",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.