Individual provider Active NPI

Scott E Morris, DPM

  • Podiatrist
  • Moore, OK
National Provider Identifier
1881675213
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
240 Issued in OK
Practice address
3001 S Telephone Rd
Ste B
Moore, OK 73160-2942
Phone
(405) 794-6691
Fax
(405) 794-9856
NPI assigned
Nov 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 240 OK Primary

Addresses

Primary practice location

3001 S Telephone Rd
Ste B
Moore, OK 73160-2942

Mailing address

3001 S Telephone Rd
Ste B
Moore, OK 73160-2942
Phone (405) 794-6691

Other identifiers 1

IdentifierTypeStateIssuer
200106920AMedicaidOK

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051109000831 OK Practitioner - Podiatry 6103856364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
College of Podiatric Med and Surgery, Des Moines University, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3001 S Telephone Rd
Suite B
Moore, OK 73160-2942

3001 S Telephone Rd B
Moore, OK 73160-2942
Phone (405) 794-6691

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue23
Removal of skin lesions1-10
Removal of nail tissue41
Removal or shaving of skin growth11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
240OKMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Foot and Ankle Associates PLLC CurrentSince Feb 1, 2005 Accepting new patients
Oklahoma Foot and Ankle Associates PLLC Podiatrist CurrentSince Aug 1, 2005 Accepting new patients

Locations

3001 S Telephone Rd
#B
Moore, OK 73160
Phone (405) 794-6691

2801 Parklawn Dr
Ste 201
Oklahoma City, OK 73110
Phone (405) 733-5437

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Surgical Hospital of OklahomaOklahoma City, OK, CCN 370201 Hospital General Partnership Interest
Limited Partnership Interest (0.79%)
Sep 1, 2009
Jan 13, 1998

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1131667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1881675213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 S TELEPHONE RD",
            "address_2": "STE B",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602942",
            "telephone_number": "405-794-6691",
            "fax_number": "405-794-9856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 S TELEPHONE RD",
            "address_2": "STE B",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602942",
            "telephone_number": "405-794-6691",
            "fax_number": "405-794-9856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "SCOTT",
        "middle_name": "E",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-11",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OK",
            "license": "240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200106920A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moore, OK

Sources for this page

Verify at the official NPI Registry.