Individual provider Active NPI

Karl Anthony Cooper, PA-C

  • Physician Assistant
  • Fort Sill, OK
National Provider Identifier
1326145632
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
833 Issued in OK
Practice address
4301 Mow Way Road
Reynolds Army Community Hospital (Attn: McUa-QC)
Fort Sill, OK 73503-6300
Phone
(580) 458-2134
Fax
(580) 458-2314
NPI assigned
Sep 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 833 OK Primary

Addresses

Primary practice location

4301 Mow Way Road
Reynolds Army Community Hospital (Attn: McUa-QC)
Fort Sill, OK 73503-6300

Mailing address

4301 Mow Way Road
Reynolds Army Community Hospital (Attn: McUa-QC)
Fort Sill, OK 73503-6300
Phone (580) 458-2134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
833OKMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326145632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 MOW WAY ROAD",
            "address_2": "REYNOLDS ARMY COMMUNITY HOSPITAL (ATTN: MCUA-QC)",
            "city": "FORT SILL",
            "state": "OK",
            "postal_code": "735036300",
            "telephone_number": "580-458-2134",
            "fax_number": "580-458-2314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 MOW WAY ROAD",
            "address_2": "REYNOLDS ARMY COMMUNITY HOSPITAL (ATTN: MCUA-QC)",
            "city": "FORT SILL",
            "state": "OK",
            "postal_code": "735036300",
            "telephone_number": "580-458-2134",
            "fax_number": "580-458-2314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "KARL",
        "middle_name": "ANTHONY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Sill, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.