Individual provider Active NPI

Donald L. Cooper, DO

  • Family Medicine Physician
  • Bristow, OK
National Provider Identifier
1255345294
Registry record updated May 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1938 Issued in OK
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

Updated by the provider on May 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100100320CMedicaidOK

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 314 clinicians

Practice addresses (Care Compare)

700 W 7TH Ave
Suite 101
Bristow, OK 74010-2302
Phone (918) 367-3272

Hospital & facility affiliations

  • Hillcrest Medical Center Hospital, Tulsa, OK, CCN 370001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1938OKMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Ahs Oklahoma Physician Group LLC Family Medicine CurrentSince Sep 1, 2004 Accepting new patients
Ahs Oklahoma Physician Group, LLC CurrentSince Sep 1, 2004 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

  • Direct secure messaging: dcooper113121@ahs.direct-ci.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.