Active NPI
Scott Street, DO
- Family Medicine Physician
- Broken Arrow, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 7212
- Practice address
- 817 S Elm PL Ste 106
Broken Arrow, OK 74012-5369 - Phone
- (918) 928-5437
- Fax
- (888) 720-8944
- NPI assigned
- Jun 23, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 7212 | KS | Primary |
| Family Medicine Physician | 207Q00000X | 5821 | OK |
Addresses
Primary practice location
817 S Elm PL Ste 106
Broken Arrow, OK 74012-5369
Mailing address
1010 N. Kansas
Wcgme
Wichita, KS 67214
Phone (316) 962-3030
Other practice location 1
1010 N. Kansas
Wcgme
Wichita, KS 67214
Phone (316) 962-3030
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (918) 744-3131
Hospital & facility affiliations
- Ascension St John Medical Center
- Ascension St John Jane Phillips
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5821 | OK | MD | Dentist |
| 7212 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. John Physicians, Inc | Current | Accepting new patients | |
| Cogent Healthcare of Texas, PA | Family Medicine | Current | Accepting new patients |
| Bright Future Pediatrics | Family Medicine | Current | Accepting new patients |
| St. John Physicians, Inc. | Family Medicine | Current | Accepting new patients |
| Tulsa Hospital Medicine Physicians Group, LLC | Current | Accepting new patients | |
| Usacs Observation Medicine Services of Oklahoma, LLC | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Texas, PLLC | Family Medicine | Current | Accepting new patients |
| St John Medical Center Inc | Past | Accepting new patients | |
| Medical Consultants of Kansas,LLC | Past | Accepting new patients |
Locations
817 S Elm Pl
Ste 106
Broken Arrow, OK 74012
Phone (539) 444-8082
1202 N Muskogee Pl
Claremore, OK 74017
Phone (918) 341-2556
300 Rockefeller Dr
Muskogee, OK 74401
Phone (918) 682-5501
1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152
10502 N 110th East Ave
Owasso, OK 74055
Phone (918) 376-8000
1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345
10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760
6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200
1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585
1923 S Utica Ave
#1000
Tulsa, OK 74104
1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660
Interoperability endpoints
- scott.street@133635819438084.direct.elationemr.com
- scott.street@direct.stjohnhealthsystem.com
Organizations & group practices 9
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.
-
- Emergency Medicine Physician
- Tulsa, OK
- NPI 1326739111
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1144982711
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
Family Medicine, OK
-
- Rural Health Clinic/Center
- Barnsdall, OK
- NPI 1033176367
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1992722953
Family Medicine
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1154417368
-
- Hospitalist Physician
- Wichita, KS
- NPI 1841506573
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bartlesville, OK
- NPI 1215914254
-
- Medicare Defined Swing Bed Hospital Unit
- Bartlesville, OK
- NPI 1427428986
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1154417368
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1578656161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712620800000",
"number": "1700014271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 N. KANSAS",
"address_2": "WCGME",
"city": "WICHITA",
"state": "KS",
"postal_code": "67214",
"telephone_number": "316-962-3030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "817 S ELM PL STE 106",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740125369",
"telephone_number": "918-928-5437",
"fax_number": "888-720-8944"
}
],
"practiceLocations": [
{
"address_1": "1010 N. Kansas",
"address_2": "WCGME",
"address_purpose": "LOCATION",
"city": "Wichita",
"state": "KS",
"postal_code": "67214",
"country_code": "US",
"telephone_number": "316-962-3030",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STREET",
"first_name": "SCOTT",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-23",
"last_updated": "2024-04-09",
"certification_date": "2024-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "7212",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "5821",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Broken Arrow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.