NPIMap

Individual provider Active NPI

Emily Jane Cooper, M.D.

  • Family Medicine Physician
  • Enid, OK
National Provider Identifier
1003182650
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
29152 Issued in OK
Practice address
3517 W Owen K Garriott Rd Ste 4
Enid, OK 73703-4953
Phone
(580) 233-5553
Fax
(580) 233-5641
NPI assigned
Mar 28, 2012
Last updated
Aug 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X 29152 OK Primary

Addresses

Primary practice location

3517 W Owen K Garriott Rd Ste 4
Enid, OK 73703-4953

Mailing address

PO Box 3046
Malvern, PA 19355-0746
Phone (580) 233-5553

Other identifiers 2

IdentifierTypeStateIssuer
200510880BMedicaidOK
P01533835OtherOKRR MEDICARE

Other names 1

  • Emily Jane Rivers Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150819006446 OK Practitioner - Family Practice 5496986556 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Oklahoma College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metro Healthcare Services LLCGroup PAC ID 7618400557, 33 clinicians

Practice addresses (Care Compare)

1111 N Lee Ave
Suite 305
Oklahoma City, OK 73103-2620
Phone (405) 272-4978

305 S 5TH St
Enid, OK 73701-5832
Phone (580) 233-6100

310 E Owen K Garriott Rd
Enid, OK 73701-5712
Phone (580) 249-3795

314 E Owen K Garriott Rd
St Mary's Podiatry Clinic
Enid, OK 73701-5712
Phone (580) 249-3795

330 S 5TH St
Suite 401
Enid, OK 73701-5863
Phone (580) 249-3898

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.52 of 100Reported as apm
Quality
87.98
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue780
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
29152OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Healthcare Services LLC CurrentSince Feb 1, 2026 Accepting new patients
St. Mary's Physician Associates, LLC CurrentSince Aug 17, 2015 Accepting new patients
St. Mary's Physician Associates, LLC Family Medicine CurrentSince Aug 17, 2015 Accepting new patients
United Methodist Home of Enid, Inc Past Accepting new patients
Summit Medical Center Past Accepting new patients
Uhs of Oklahoma, LLC Past Accepting new patients
PF Garland SNF Ops, LLC Past Accepting new patients
Commons Operations LLC Past Accepting new patients

Locations

330 S 5th St
Ste 401
Enid, OK 73701
Phone (580) 233-9700

3517 W Owen K Garriott Rd
Ste 4
Enid, OK 73703
Phone (580) 233-5553

1111 N Lee Ave
Ste 305
Oklahoma City, OK 73103
Phone (405) 272-4978

Interoperability endpoints

  • Direct secure messaging: emily.cooper@direct.stjohnhealthsystem.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1003182650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3046",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193550746",
            "telephone_number": "580-233-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3517 W OWEN K GARRIOTT RD STE 4",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737034953",
            "telephone_number": "580-233-5553",
            "fax_number": "580-233-5641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "EMILY",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-28",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "29152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200510880B",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01533835",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "RIVERS",
            "middle_name": "JANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Enid, OK

Sources for this page

Verify at the official NPI Registry.