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Tyrell Scurlock
NPI 1104212018 · Contractor · Saint Louis, MO
Tyrell Scurlock is a Contractor provider in Saint Louis, MO (NPI 1104212018).
Provider details
- NPI number
- 1104212018
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 2003020843 (MO)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11960 Westline Industrial Dr
201
Saint Louis, MO 63146-3209
Phone: (314) 575-8163
Street-level locationGet directions
Mailing address
Po Box 23331
Saint Louis, MO 63156-3331
Registry dates
- Enumerated
- 2015-04-08
- Last updated
- 2015-04-08
Frequently asked questions
- What is Tyrell Scurlock's NPI number?
- Tyrell Scurlock's National Provider Identifier (NPI) is 1104212018, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tyrell Scurlock's specialty?
- Tyrell Scurlock is listed in the NPPES registry with a primary specialty of Contractor (Other Service Providers).
- Where is Tyrell Scurlock located?
- Tyrell Scurlock's practice location on file with NPPES is 11960 Westline Industrial Dr, Saint Louis, MO 63146-3209.
- What is Tyrell Scurlock's phone number?
- The practice phone number listed in the NPPES registry for Tyrell Scurlock is (314) 575-8163.
- Is Tyrell Scurlock's NPI active?
- Yes — Tyrell Scurlock's NPI (1104212018) is active in the NPPES registry as of the last update on 2015-04-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.