Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Scott William Wallis, DO

Individual provider Hospitalist Physician · NPI 1821672858

Scott William Wallis, DO is a Hospitalist in Tulsa, Oklahoma. Graduated from Oklahoma State University College of Osteopathic Medicine in 2022, 4 years ago. Practices with Warren Clinic Inc, a 772-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
4
Trained at
Oklahoma State University College of Osteopathic Medicine
Licensed in
OK
In the registry since
2021
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

10501 E 91st St
Tulsa, OK 74133-5790
Phone: (918) 502-1900
Fax: (918) 494-6303
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 8111 (OK)

Record details

NPI number1821672858
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 6, 2021
Last updated in NPPESJuly 8, 2025
Certification dateJuly 8, 2025
Mailing address6600 S Yale Ave Ste 1200, Tulsa, OK 74136-3361

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHOSPITALIST
Medical schoolOKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2022 (4 years in practice)
Group practice Warren Clinic Inc — 772 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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