Provider Demographics
NPI:1881675213
Name:MORRIS, SCOTT E (DPM)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:E
Last Name:MORRIS
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3001 S TELEPHONE RD
Mailing Address - Street 2:STE B
Mailing Address - City:MOORE
Mailing Address - State:OK
Mailing Address - Zip Code:73160-2942
Mailing Address - Country:US
Mailing Address - Phone:405-794-6691
Mailing Address - Fax:405-794-9856
Practice Address - Street 1:3001 S TELEPHONE RD
Practice Address - Street 2:STE B
Practice Address - City:MOORE
Practice Address - State:OK
Practice Address - Zip Code:73160-2942
Practice Address - Country:US
Practice Address - Phone:405-794-6691
Practice Address - Fax:405-794-9856
Is Sole Proprietor?:No
Enumeration Date:2005-11-11
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK240213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200106920AMedicaid
OKP00252086Medicare PIN
OK5502790001Medicare NSC
247528600Medicare PIN