Active NPI
Donald L. Cooper, DO
- Family Medicine Physician
- Bristow, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 1938
- Practice address
- 700 W 7TH Ave
Suite 103
Bristow, OK 74010-2302 - Phone
- (918) 367-5531
- Fax
- (918) 367-1747
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1938 | OK | Primary |
Addresses
Primary practice location
700 W 7TH Ave
Suite 103
Bristow, OK 74010-2302
Mailing address
700 W 7TH Ave
Suite 103
Bristow, OK 74010-2302
Phone (918) 367-5531
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100100320C | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040903000169 | OK | Practitioner - Family Practice | 9830165604 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ahs Oklahoma Physician Group LLC
Practice addresses (Care Compare)
700 W 7TH Ave
Suite 101
Bristow, OK 74010-2302
Phone (918) 367-3272
Hospital & facility affiliations
- Hillcrest Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1938 | OK | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahs Oklahoma Physician Group LLC | Family Medicine | Current | Accepting new patients |
| Ahs Oklahoma Physician Group, LLC | Current | Accepting new patients | |
| Ahs Henryetta Hospital LLC | Past | Accepting new patients |
Locations
700 W 7th Ave
Ste 101
Bristow, OK 74010
Phone (918) 367-3272
700 W 7th Ave
Ste 6
Bristow, OK 74010
Phone (918) 367-2215
700 W 7th Ave
Ste 103
Bristow, OK 74010
Phone (918) 367-5531
20 E 34th St
Sand Springs, OK 74063
Phone (918) 245-9675
Dept 1206
Tulsa, OK 74182
1145 S Utica Ave
Ste 110
Tulsa, OK 74104
Phone (918) 579-3825
Interoperability endpoints
- dcooper113121@ahs.direct-ci.com
- https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Tulsa, OK
- NPI 1235182775
Family Medicine, OK
-
- Rural Health Clinic/Center
- Cushing, OK
- NPI 1922683051
-
- Rural Health Clinic/Center
- Henryetta, OK
- NPI 1871008722
Hospital & facility affiliations 1
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": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398902400000",
"number": "1255345294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 W 7TH AVE",
"address_2": "SUITE 103",
"city": "BRISTOW",
"state": "OK",
"postal_code": "740102302",
"telephone_number": "918-367-5531",
"fax_number": "918-367-1747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 W 7TH AVE",
"address_2": "SUITE 103",
"city": "BRISTOW",
"state": "OK",
"postal_code": "740102302",
"telephone_number": "918-367-5531",
"fax_number": "918-367-1747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "DONALD",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2014-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "1938",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100100320C",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bristow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.