Coolidge Royal Oak, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

COOLIDGE ROYAL OAK, LLC

Practice address

5140 Coolidge Hwy Ste 200
Royal Oak, MI 48073-1030

Phone

(586) 260-4665

NPI assigned

Aug 13, 2025

Organization subpart

No

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

Authorized official

Name

Samantha Larson

Title

VP of Operations

Phone

(248) 955-4950

Specialties & licenses 2

Addresses

Other names 2

• Apex Surgical Center Doing business as
• Coolidge Royal Oak, LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Ambulatory surgical center certification: CCN 23C0001173

Legal name

Apex Surgical Center

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Apr 27, 2026

Last certification

Apr 10, 2026

Ownership / control type

Proprietary

Facility address

5140 Coolidge Hwy, Suite 200
Royal Oak, MI 48073

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1755043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780531200000",
    "number": "1215813399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5140 COOLIDGE HWY STE 200",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480731030",
            "telephone_number": "248-955-4950",
            "fax_number": "248-955-4951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5140 COOLIDGE HWY STE 200",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480731030",
            "telephone_number": "586-260-4665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOLIDGE ROYAL OAK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-13",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "248-955-4950"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apex Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Coolidge Royal Oak, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Andrew Cook, MD
• Carly Cook, CCC-SLP
• Courtney Cook, MSN, FNP-C
• Kimberly Cook
• Robert Walter Cook, CRNA
• Mackenzie Elizabeth Cooney
• Judas Dean Cooper
• Kelly Cooper
• Sarah Cooper
• Cope Counseling

• Ambulatory Surgical Clinic/Center in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Ambulatory Surgical Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.