Individual provider Active NPI

James Keith Cooper, M.D.

  • Diagnostic Radiology Physician
  • Edmond, OK
National Provider Identifier
1306985569
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
20070 Issued in OK
Practice address
3509 French Park Dr
Ste E
Edmond, OK 73034-7291
Phone
(405) 285-6901
Fax
(405) 285-6902
NPI assigned
Feb 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 20070 OK Primary

Addresses

Primary practice location

3509 French Park Dr
Ste E
Edmond, OK 73034-7291

Mailing address

3509 French Park Dr
Ste E
Edmond, OK 73034-7291
Phone (405) 285-6901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050922001202 OK Practitioner - Diagnostic RadiologyPractitioner - Emergency MedicinePractitioner - Interventional Radiology 2466486071 Reassigns benefits to 2 organizations
I20220831000299 TX Practitioner - Diagnostic Radiology 2466486071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Emergency Medicine, Interventional Radiology
Education
University of Oklahoma College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foundation Radiology Group PCGroup PAC ID 4284678277, 2 clinicians
Comprehensive Diagnostic Imaging LLCGroup PAC ID 9638327620, 5 clinicians

Practice addresses (Care Compare)

3509 French Park Dr
Suite E
Edmond, OK 73034-7291
Phone (405) 285-6901

5800 N Portland Ave
Oklahoma City, OK 73112-1661
Phone (405) 601-4500

Hospital & facility affiliations

  • Onecore Health Hospital, Oklahoma City, OK, CCN 370220
  • Newman Memorial Hospital Hospital, Shattuck, OK, CCN 371336

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20070OKMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation Radiology Group PC Diagnostic Radiology CurrentSince Jul 1, 2011 Accepting new patients
Vantage Open MRI LLC CurrentSince May 16, 2012 Accepting new patients
Renaissance Medical Management LLC Diagnostic Radiology CurrentSince Mar 12, 2024 Accepting new patients
Central Oklahoma American Indian Health Council, Inc. CurrentSince Aug 17, 2022 Accepting new patients
St John Medical Center Inc Past Accepting new patients
Tulsa Rheumatology Clinic LLC PastSince Dec 20, 2021 Accepting new patients
Jane Phillips Nowata Hospital Inc Past Accepting new patients

Locations

908 N Rockford Rd
Ste C
Ardmore, OK 73401
Phone (580) 223-7226

1705 Renaissance Blvd
Ste 150
Edmond, OK 73013
Phone (405) 285-6901

3509 French Park Dr
Ste E
Edmond, OK 73034
Phone (405) 285-6901

3300 Chandler Rd
Ste 106
Muskogee, OK 74403
Phone (918) 608-0350

3750 W Robinson St
Ste 130
Norman, OK 73072
Phone (405) 796-7226

4913 W Reno Ave
Oklahoma City, OK 73127
Phone (405) 948-4900

111 Harrison Ave
Ste 104
Oklahoma City, OK 73104
Phone (405) 272-5090

309 S Ann Arbor Ave
Oklahoma City, OK 73128
Phone (405) 948-4900

3400 W Hefner Rd
Oklahoma City, OK 73120
Phone (405) 418-0900

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1306985569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3509 FRENCH PARK DR",
            "address_2": "STE E",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730347291",
            "telephone_number": "405-285-6901",
            "fax_number": "405-285-6902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 FRENCH PARK DR",
            "address_2": "STE E",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730347291",
            "telephone_number": "405-285-6901",
            "fax_number": "405-285-6902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "JAMES",
        "middle_name": "KEITH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OK",
            "license": "20070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.