Scott A Cordray, DO

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

2947 Issued in OK

Practice address

2448 E 81St St
Ste 1350
Tulsa, OK 74137-4248

Phone

(918) 582-8217

Fax

(918) 582-8219

NPI assigned

Oct 18, 2005

Last updated

Oct 17, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK, CO2 enrollments

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 2

Specialty

Otolaryngology

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Oklahoma Surgical Hospital, LLC Hospital, Tulsa, OK, CCN 370210
• Ascension St John Medical Center Hospital, Tulsa, OK, CCN 370114

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: scott.cordray@direct.stjohnhealthsystem.com
• FHIR API: https://fhir-myrecord.cerner.com/r4/37d0fa6b-e0f7-4581-adbb-f9e2eac855e1/
• FHIR API: https://fhir4.healow.com/fhir/r4/DCCJAD/Endpoint/DCCJAD
• Direct secure messaging: scottcordray@entst.allscriptsdirect.net

All facility ownership & control disclosures 1

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

Owned or controlled facilities with NPI records 1

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

• Oklahoma Surgical Hospital, LLC

  • General Acute Care Hospital
  • Tulsa, OK
  • NPI 1487651857

  General Partnership Interest

  CMS ownership

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.

• Ear, Nose, & Throat, Inc.

  • Otolaryngology Physician
  • Tulsa, OK
  • NPI 1942749080
  Medicare reassignment NPD Authorized official
• Upper San Juan Health Service District

  dba Pagosa Springs Medical Center

  • Critical Access Hospital
  • Pagosa Springs, CO
  • NPI 1245401561
  Medicare reassignment NPD
• Upper San Juan Health Service District

  dba Pagosa Springs Medical Center

  • Critical Access Hospital
  • Pagosa Springs, CO
  • NPI 1659523058
  Medicare reassignment NPD
• Oklahoma Surgical Hospital, LLC

  • General Acute Care Hospital
  • Tulsa, OK
  • NPI 1487651857
  NPD (past)
• Tulsa CT LLC

  dba CT of Tulsa

  • Radiology Clinic/Center
  • Tulsa, OK
  • NPI 1598710436
  NPD (past)

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

• Oklahoma Surgical Hospital, LLC

  • General Acute Care Hospital
  • Tulsa, OK
  • NPI 1487651857
  Care Compare affiliation
• St John Medical Center Inc

  • General Acute Care Hospital
  • Tulsa, OK
  • NPI 1154417368
  Care Compare affiliation
• St John Medical Center Inc

  • Rehabilitation Hospital Unit
  • Tulsa, OK
  • NPI 1578656161
  Care Compare affiliation

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192579200000",
    "number": "1982693396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21228",
            "address_2": "DEPT 262",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741211228",
            "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": "STE 1350",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374248",
            "telephone_number": "918-582-8217",
            "fax_number": "918-582-8219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDRAY",
        "first_name": "SCOTT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2007-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OK",
            "license": "2947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100249830B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica Cordero, ARNP
• Andrew Cordova
• Bryannah Michelle Cordova
• Hope Cordova, D.O.
• Jamie Cordova
• Core Psychology, LLC
• Julia Core, LP
• Kaitlin Bullock Cores, MD
• Brandi Lynn Corey, L.M., C.P.M., R.P.T.
• Caleb Joseph Corff, DO

• Otolaryngology Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Otolaryngology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.