Organization Active NPI

Ear, Nose, & Throat, Inc.

  • Otolaryngology Physician
  • Tulsa, OK
National Provider Identifier
1942749080
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
2947 Issued in OK
Legal business name
EAR, NOSE, & THROAT, INC.
Practice address
2448 E 81St St
Suite 1350
Tulsa, OK 74137-4250
Phone
(918) 582-8217
Fax
(918) 582-8219
NPI assigned
Feb 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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

Authorized official

Name
Scott A Cordray, DONPI 1982693396
Title
Owner
Phone
(918) 582-8217

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 2947 OK Primary

Addresses

Primary practice location

2448 E 81St St
Suite 1350
Tulsa, OK 74137-4250

Mailing address

2448 E 81St St
Suite 1350
Tulsa, OK 74137-4250
Phone (918) 582-8217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170406000218 OK Part B Supplier - Clinic/Group Practice 0547546582 Receives reassigned benefits from 1 practitioner
Practice locations: Tulsa, OK

National Provider Directory

National Provider Directory

Locations

2448 E 81st St
Ste 1350
Tulsa, OK 74137
Phone (918) 582-8217

2448 E 81st St
Ste 1625
Tulsa, OK 74137
Phone (918) 582-8217

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487721600000",
    "number": "1942749080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2448 E 81ST ST",
            "address_2": "SUITE 1350",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374250",
            "telephone_number": "918-582-8217",
            "fax_number": "918-582-8219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2448 E 81ST ST",
            "address_2": "SUITE 1350",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374250",
            "telephone_number": "918-582-8217",
            "fax_number": "918-582-8219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR, NOSE, & THROAT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-22",
        "last_updated": "2017-02-22",
        "status": "A",
        "authorized_official_last_name": "CORDRAY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-582-8217",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "OK",
            "license": "2947",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.