Organization Active NPI

Shon Cook MD PLLC

  • Neurological Surgery Physician
  • Norman, OK
National Provider Identifier
1104036920
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
24168 Issued in OK
Legal business name
SHON COOK MD PLLC
Practice address
3400 W Tecumseh Rd
Suite 304
Norman, OK 73072-1810
Phone
(405) 310-6977
Fax
(405) 292-5505
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Shon W Cook, MDNPI 1629060660
Title
Managing Partner
Phone
(405) 310-6977

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X 24168 OK Primary

Addresses

Primary practice location

3400 W Tecumseh Rd
Suite 304
Norman, OK 73072-1810

Mailing address

PO Box 720365
Norman, OK 73070-4270
Phone (405) 310-6977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050115000029 OK Part B Supplier - Clinic/Group Practice 1951350065 Receives reassigned benefits from 1 practitioner
Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory

Locations

2412 Palmer Cir
Norman, OK 73069
Phone (405) 321-6347

724 24th Ave NW
Ste 220
Norman, OK 73069
Phone (405) 307-5700

3400 W Tecumseh Rd
Ste 304
Norman, OK 73072
Phone (405) 310-6977

3110 SW 89th St
Oklahoma City, OK 73159
Phone (405) 602-8100

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104036920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 720365",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730704270",
            "telephone_number": "405-310-6977",
            "fax_number": "405-292-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 W TECUMSEH RD",
            "address_2": "SUITE 304",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730721810",
            "telephone_number": "405-310-6977",
            "fax_number": "405-292-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHON COOK MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "SHON",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "405-310-6977",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "OK",
            "license": "24168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.