DR. SCOTT SAMUEL CYRUS (NPI# 1306800362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306800362 |
| Entity Type | Individual |
| Full Name | DR. SCOTT SAMUEL CYRUS |
| Credential | D.O. |
| Practice Address |
8803 S 101st East Ave Ste 200 Tulsa OK 74133-5726 |
| Practice Telephone | 9183072273 |
| Practice Fax Number | 9183070273 |
| Mailing Telephone | 9183072273 |
| Mailing Fax Number | 9183070273 |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2011-04-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
3025 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100100600D | 05 | |
| OK | 100733310A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073862991 | Scott A Cyrus | Pharmacist | 201 Teays Ctr Kroger 02900784, Scott Depot, WV 25560 | 2012-09-06 |
| Street Address |
8803 S 101ST EAST AVE STE 200 |
| City | TULSA |
| State | OK |
| Zip Code | 74133-5726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497755540 | Christy Bennett | Family Medicine | 8803 S 101st East Ave, Suite 370, Tulsa, OK 74133-5726 | 2005-07-29 |
| 1811471303 | Evan Miller | Nurse Practitioner | 8803 S 101st East Ave, Ste 100, Tulsa, OK 74133-7546 | 2018-09-20 |
| 1265899405 | Norton Crna Pllc | Nurse Anesthetist, Certified Registered | 8803 S 101st East Ave, Tulsa, OK 74133-5726 | 2016-01-19 |
| 1114325685 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Orthopaedic Surgery | 8803 S 101st East Ave, Ste 300, Tulsa, OK 74133-5726 | 2014-12-15 |
| 1477971315 | The Orthopaedic Center | Physician Assistant | 8803 S 101st East Ave, Suite 100, Tulsa, OK 74133-5726 | 2014-03-28 |
| 1740545722 | Timmeni Lynn Stevens | Obstetrics & Gynecology | 8803 S 101st East Ave, Ste 205, Tulsa, OK 74133-5730 | 2012-07-06 |
| 1023380110 | William F Burnside | Specialist/Technologist, Other | 8803 S 101st East Ave, Ste 320, Tulsa, OK 74133-5726 | 2012-02-03 |
| 1386947604 | Southcrest LLC | Clinic/Center | 8803 S 101st East Ave, Suite 160, Tulsa, OK 74133-5726 | 2010-12-08 |
| 1528375995 | Em Madd, LLC | Internal Medicine | 8803 S 101st East Ave, Suite 383, Tulsa, OK 74133-5726 | 2010-09-08 |
| 1912212481 | Osu Center for Health Sciences | Clinic/Center | 8803 S 101st East Ave, Suite 350, Tulsa, OK 74133-5726 | 2010-08-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932725058 | Economy Pharmacy | Pharmacy | 10120 E 91st, Tulsa, OK 74133 | 2020-06-24 |
| 1710539424 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 9310 East 91st Street, Tulsa, OK 74133 | 2019-07-12 |
| 1003382060 | Carefirst Pharmacy Tulsa, Inc. | Pharmacy | 6214 S. Sheridan Rd, Tulsa, OK 74133 | 2018-10-17 |
| 1003397332 | Adekemi Taiwo | Nurse Practitioner | Hillcrest South Medical Plaza, 8803 S. 101 St E. Ave. Suite 350, Tulsa, OK 74133 | 2018-08-24 |
| 1346732013 | Lauren Nichols | Dentist | 7707 E 111th St Ste 105, Tulsa, OK 74133 | 2018-05-30 |
| 1699264259 | Courtney N Johnson, Pllc | Dentist | 7901 S Sheridan Rd Unit A, Tulsa, OK 74133 | 2018-05-08 |
| 1417464199 | Tulsa Medical and Orthopedic Center PC | Family Medicine | 8165 S Mingo Rd Ste 200, Tulsa, OK 74133 | 2018-01-04 |
| 1013421023 | Susan C. Willard, Do, Pllc | Family Medicine | 6532 E. 71st Street, Suite 150, Tulsa, OK 74133 | 2017-11-29 |
| 1851800825 | Seyva LLC | Clinic/Center | 8522 S 70th E Ave, Tulsa, OK 74133 | 2017-09-21 |
| 1477072031 | Amanda Dawn Long | Registered Nurse | 10507 E 91st St Ste 310, Tulsa, OK 74133 | 2017-09-14 |
| Find all providers in zip 74133 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356544951 | Kristin Diane Conkling | Pediatrics | 5125 E 107th Pl, Tulsa, OK 74137-7236 | 2007-06-09 |
| 1780789362 | Children & Adolescent Medical Services Inc. | Pediatrics | 8803 S. 101st E. Ave., Suite 200, Tulsa, OK 74133 | 2006-09-14 |
| 1922038348 | Paul Andrew Scott Benson | Pediatrics | 4444 E. 41st Street, 2nd Floor, Ou Physicians -- Pediatrics, Tulsa, OK 74135 | 2006-07-03 |
| 1285891945 | Kids Pediatric and Adolescent Care | Pediatrics | 7711 E 111th St, Suite 111, Tulsa, OK 74133-2570 | 2008-05-20 |
| 1073641395 | Lamiaa Hassan Ali | Pediatrics | 4444 E 41st St, 2nd Floor, Ste A, Tulsa, OK 74135-2527 | 2007-02-28 |
| 1144327800 | Hugh C Graham | Pediatrics | 1919 S Wheeling Ave, Suite 304, Tulsa, OK 74104-5638 | 2006-09-17 |
| 1033216791 | Donna J Krutka | Pediatrics | 1919 S Wheeling Ave, Suite 304, Tulsa, OK 74104-5638 | 2006-09-17 |
| 1770680423 | Joel K Gist | Pediatrics | 1919 S Wheeling Ave, Suite 304, Tulsa, OK 74104-5638 | 2006-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770504037 | Miguel Antonio Camacho-garrido | Pediatrics | 1104 Walnut Dr, Ardmore, OK 73401-2353 | 2006-07-22 |
| 1497788624 | Shelley Ann Bohn | Pediatrics | 937 Sw 89th St, Suite A, Oklahoma City, OK 73139-9231 | 2006-07-09 |
| 1235128430 | Elizabeth Gail Lewis | Pediatrics | 2701 Sw Cornell Ave, Lawton, OK 73505-7121 | 2005-10-19 |
| 1871581470 | Charles R Mettry | Pediatrics | 201 N Monte Vista St, Suite B, Ada, OK 74820-7200 | 2005-10-10 |
| 1578568010 | Julie Gail Sullivan | Pediatrics | 1615 S Eucalyptus Ave, Suite 210, Broken Arrow, OK 74012-6159 | 2005-06-20 |
| 1902446917 | Chelsea Ryan Walker | Pediatrics | 12455 E 100th St N Ste 300, Owasso, OK 74055-4678 | 2020-01-08 |
| 1609005842 | Ahmad Pediatrics | Pediatrics | 302 E Downing St, Tahlequah, OK 74464-3014 | 2009-07-09 |
| 1235399122 | South Pointe Pediatrics, Pllc | Pediatrics | 1615 S Eucalyptus Ave, Suite 210, Broken Arrow, OK 74012-6159 | 2008-06-13 |
| 1235207515 | Southwest Pediatrics, Pllc | Pediatrics | 937 Sw 89th St, Suite A, Oklahoma City, OK 73139-9231 | 2006-12-02 |
| 1053486431 | Northern Oklahoma Regional Pediatric Clinic, Pllc | Pediatrics | 415 Fairview Ave, Ste. 100, Ponca City, OK 74601-1923 | 2006-11-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.