Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104212018 Individual Practitioner Male Practitioner

Tyrell Scurlock

Contractor • Saint Louis, MO

Professional Overview & Biography Verified Profile Summary

Tyrell Scurlock is a registered healthcare professional specializing in Contractor in Saint Louis, MO. Practice services are available at 11960 WESTLINE INDUSTRIAL DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11960 Westline Industrial Dr
201

Saint Louis, MO 631463209

Telephone 3145758163
Associated Practice Facility / Clinic
🏢 Supplemental Health Care Facility NPI 1902129653

Specialty Benchmarks & Practice Insights

Comparative analytics for Contractor in Saint Louis, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
24 Specialists

Practicing in Saint Louis, MO (93 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Contractor Primary Specialty

NUCC Taxonomy Code: 171W00000X

State License MO 2003020843

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Demetrices Carter , RRT

Respiratory Therapist, Registered - Critical Care

NPI 1013309178

Registered Respiratory Therapist

Andrea Moore

Occupational Therapy Assistant

NPI 1013362755
Donna Gallen , OTR

Occupational Therapist

NPI 1013378694

Occupational Therapist Registered

Modena Molen , MA CCC SLP

Speech-Language Pathologist

NPI 1033367958

MACCCSLP

Erica Spencer , MS, SSP

Psychologist - School

NPI 1033565254

Master of Science, SSP

Linda Viggers , PTA

Physical Therapy Assistant

NPI 1063768430

Physical Therapist Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 08, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location April 08, 2015

Registered at 11960 WESTLINE INDUSTRIAL DR, 201, SAINT LOUIS, MO 631463209 (Tel: 3145758163)

📍
Updated Business Mailing Address April 08, 2015

Registered at PO BOX 23331, SAINT LOUIS, MO 631563331 (Tel: 3145758163)

👤
Provider Name / Credentials Updated April 08, 2015

Recorded as TYRELL SCURLOCK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2015

Contractor (License #2003020843 in MO)

🟢
Initial NPI Registration & Enumeration April 08, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104212018
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 08, 2015
Last Update: April 08, 2015
Sole Proprietor: No

Mailing Address

Po Box 23331

Saint Louis, MO 631563331

Phone: 3145758163

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.