Individual provider Active NPI

Scarlett Florence Custer, D. O.

  • Family Medicine Physician
  • Bartlesville, OK
National Provider Identifier
1336218320
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3401 Issued in OK
Practice address
2431 Nowata PL
Bartlesville, OK 74006-4708
Phone
(918) 333-5521
Fax
(918) 333-7139
NPI assigned
Nov 6, 2006
Last updated
Nov 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3401 OK Primary

Addresses

Primary practice location

2431 Nowata PL
Bartlesville, OK 74006-4708

Mailing address

P.O. Box 2526
Joplin, MO 64803-2526
Phone (417) 347-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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

Enrollment IDStateProvider typePAC IDDetails
I20040329001345 OK Practitioner - General PracticePractitioner - PsychiatryPractitioner - Emergency Medicine 5395637763 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
3401OKMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
US Dept of HHS Family Medicine Past Accepting new patients
Nemri Medical Services, Inc. Family Medicine Past Accepting new patients
Eufaula Medicine PLLC Past Accepting new patients
Pic Bartlesville, PLLC Family Medicine PastSince Oct 28, 2012 Accepting new patients
Mercy Kansas Communities Inc Past Accepting new patients
Watonga Hospital Trust Authority Past Accepting new patients
Watonga Hospital Trust Authority Past Accepting new patients
Mayes County Hma, LLC Past Accepting new patients
Rural Kansas Emergency Physicians LLC Past Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: scuster@scdp-ok.direct.office.nextgen.com

Organizations & group practices 11

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

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1336218320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2526",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648032526",
            "telephone_number": "417-347-7600",
            "fax_number": "417-347-9810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431 NOWATA PL",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740064708",
            "telephone_number": "918-333-5521",
            "fax_number": "918-333-7139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSTER",
        "first_name": "SCARLETT",
        "middle_name": "FLORENCE",
        "credential": "D. O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "3401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlesville, OK

Sources for this page

Verify at the official NPI Registry.