Active NPI
Timothy John Scott, CRNA
- Certified Registered Nurse Anesthetist
- Norman, OK
National Provider Identifier
1497715346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R0054614
- Practice address
- 3650 W Rock Creek Rd
Suite 100
Norman, OK 73072-2202 - Phone
- (405) 701-3418
- Fax
- (405) 701-3451
- NPI assigned
- Mar 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R0054614 | OK | Primary |
Addresses
Primary practice location
3650 W Rock Creek Rd
Suite 100
Norman, OK 73072-2202
Mailing address
3650 W Rock Creek Rd
#100
Norman, OK 73072-2202
Phone (405) 701-3418
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100781130A | Medicaid | OK |
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
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0054614 | OK | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinton Hma, LLC | Past | Accepting new patients | |
| Norman Anesthesia Providers, P.C. | 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
- Clinton, OK
- NPI 1326062456
-
- Anesthesiology Physician
- Norman, OK
- NPI 1881652667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304035200000",
"number": "1497715346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3650 W ROCK CREEK RD",
"address_2": "#100",
"city": "NORMAN",
"state": "OK",
"postal_code": "730722202",
"telephone_number": "405-701-3418",
"fax_number": "405-701-3451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3650 W ROCK CREEK RD",
"address_2": "SUITE 100",
"city": "NORMAN",
"state": "OK",
"postal_code": "730722202",
"telephone_number": "405-701-3418",
"fax_number": "405-701-3451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "TIMOTHY",
"middle_name": "JOHN",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2011-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OK",
"license": "R0054614",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100781130A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.