NPIMap

Individual provider Active NPI

Scott Kerwin Hudson, M.D.

  • Otolaryngology Physician
  • Tulsa, OK
National Provider Identifier
1639313265
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
30492 Issued in OK
Practice address
5020 E 68TH St
Tulsa, OK 74136-3307
Phone
(918) 492-3636
Fax
(918) 494-8915
NPI assigned
Apr 27, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 30492 OK Primary

Addresses

Primary practice location

5020 E 68TH St
Tulsa, OK 74136-3307

Mailing address

5020 E 68TH St
Tulsa, OK 74136-3307
Phone (918) 492-3636

Other practice location 1

9343 S Mingo Rd
Tulsa, OK 74133-5702
Phone (918) 492-3636

Other identifiers 1

IdentifierTypeStateIssuer
200537640AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140825000699 OK Practitioner - Otolaryngology 0749411023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Arkansas College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Oklahoma Ear Nose and Throat IncGroup PAC ID 6507851482, 21 clinicians

Practice addresses (Care Compare)

5020 E 68TH St
Tulsa, OK 74136-3307
Phone (918) 492-3636

Hospital & facility affiliations

  • Tulsa Spine & Specialty Hospital Hospital, Tulsa, OK, CCN 370216
  • Saint Francis Hospital, Inc Hospital, Tulsa, OK, CCN 370091
  • Hillcrest Hospital South Hospital, Tulsa, OK, CCN 370202
  • Ascension St John Broken Arrow Hospital, Broken Arrow, OK, CCN 370235

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision130
Removal of tissue11
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Oklahoma Ear, Nose & Throat Inc CurrentSince Apr 17, 2025 Accepting new patients
Tulsa Spine & Specialty Hospital Past Accepting new patients
Ahs Southcrest Hospital, LLC Past Accepting new patients

Locations

9343 S Mingo Rd
Tulsa, OK 74133
Phone (918) 492-3636

5020 E 68th St
Tulsa, OK 74136
Phone (918) 491-3314

Interoperability endpoints

  • Direct secure messaging: scott.hudson@direct.stjohnhealthsystem.com
  • FHIR API: https://epicproxy.ardenthealth.com/fhir/TSSH/api/FHIR/R4
  • Direct secure messaging: shudson112997@ahs.direct-ci.com

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1639313265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5020 E 68TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363307",
            "telephone_number": "918-492-3636",
            "fax_number": "918-494-8915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 E 68TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363307",
            "telephone_number": "918-492-3636",
            "fax_number": "918-494-8915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9343 S Mingo Rd",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741335702",
            "country_code": "US",
            "telephone_number": "918-492-3636",
            "fax_number": "918-494-8915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "SCOTT",
        "middle_name": "KERWIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-27",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OK",
            "license": "30492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200537640A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.