Active NPI
Clinton Scott Anthony, D.O.
- Pain Medicine (Anesthesiology) Physician
- Tulsa, OK
National Provider Identifier
1528061603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 2940
- Practice address
- 6802 S Olympia Ave
Suite 100
Tulsa, OK 74132-1823 - Phone
- (918) 447-9300
- Fax
- (918) 447-9308
- NPI assigned
- May 23, 2005
- Last updated
- Feb 12, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 2940 | OK | Primary |
Addresses
Primary practice location
6802 S Olympia Ave
Suite 100
Tulsa, OK 74132-1823
Mailing address
6802 S Olympia Ave
Suite 100
Tulsa, OK 74132-1823
Phone (918) 447-9300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00380439 | Other | OK | RAILROAD MEDICARE |
| 100113840B | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hatton Anesthesia LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Tulsa, OK
- NPI 1659922201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360627200000",
"number": "1528061603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6802 S OLYMPIA AVE",
"address_2": "SUITE 100",
"city": "TULSA",
"state": "OK",
"postal_code": "741321823",
"telephone_number": "918-447-9300",
"fax_number": "918-447-9308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6802 S OLYMPIA AVE",
"address_2": "SUITE 100",
"city": "TULSA",
"state": "OK",
"postal_code": "741321823",
"telephone_number": "918-447-9300",
"fax_number": "918-447-9308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTHONY",
"first_name": "CLINTON",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-23",
"last_updated": "2013-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "OK",
"license": "2940",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00380439",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100113840B",
"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 Feb 12, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.