Jennifer C. Scoufos, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

3917 Issued in OK

Practice address

555 W Ruth Ave
Sallisaw, OK 74955-6867

Phone

(918) 774-0147

Fax

(918) 774-0286

NPI assigned

Aug 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Family PracticeAlso: Emergency Medicine

Education

Oklahoma State University College of Osteopathic Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stigler Health and Wellness Center IncGroup PAC ID 8022061373, 46 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jscoufos721282@direct.ochin.org

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.

• Stigler Health and Wellness Center Inc

  • Federally Qualified Health Center (FQHC)
  • Stigler, OK
  • NPI 1891752853
  Medicare reassignment Care Compare group NPD
• Hospital Care Consultants of Sallisaw

  • Hospitalist Physician
  • Sallisaw, OK
  • NPI 1841423894
  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315267200000",
    "number": "1750496659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 W RUTH AVE",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749556867",
            "telephone_number": "918-774-0147",
            "fax_number": "918-774-0286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W RUTH AVE",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749556867",
            "telephone_number": "918-774-0147",
            "fax_number": "918-774-0286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOUFOS",
        "first_name": "JENNIFER",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2011-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "3917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey S Sanders, DPH
• Rikki Jo Sanders
• Lauren Sanford
• Darby Elizabeth Sawney
• Carol Sue Schmidt, P.A.
• Sequoyah City County Trust Authority
• Sequoyah County City of Sallisaw Hopsital Authority
• Sequoyah County City of Sallisaw Hospital Authority
• Sequoyah County City of Sallisaw Hospital Authority
• Sequoyah County City of Sallisaw Hospital Authority

• Family Medicine Physician in Sallisaw, OK
• Providers in Sallisaw, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; 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.

Verify at the official NPI Registry.