Active NPI
Michael Cooper, D.O.
- Family Medicine Physician
- Claremore, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 12946
- Practice address
- 3100 Medical Pkwy
100
Claremore, OK 74017-1088 - Phone
- (918) 341-1000
- Fax
- (918) 293-3141
- NPI assigned
- Mar 28, 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 | 12946 | OK | Primary |
Addresses
Primary practice location
3100 Medical Pkwy
100
Claremore, OK 74017-1088
Mailing address
1515 N Harvard Ave
Suite E
Tulsa, OK 74115-4957
Phone (918) 832-6049
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100119730A | 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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Oklahoma State University College of Osteopathic Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (918) 744-2967
Hospital & facility affiliations
- Angels Care Home Health of East Oklahoma
- St John Owasso
- Ascension St John Medical Center
- Hillcrest Hospital Claremore
- Saint Francis Hospital, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12946 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omni Medical Group Inc | Family Medicine | Current | Accepting new patients |
Locations
1910 S Falcon Ave
Claremore, OK 74019
Phone (918) 341-1000
3100 Medical Pkwy
#100
Claremore, OK 74017
Phone (844) 372-0087
1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345
1515 N Harvard Ave
Ste E
Tulsa, OK 74115
Phone (918) 832-6049
Organizations & group practices 1
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 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Claremore, OK
- NPI 1023398807
-
- Home Health Agency
- Broken Arrow, OK
- NPI 1851359194
-
- General Acute Care Hospital
- Owasso, OK
- NPI 1144231432
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1003039488
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1144228487
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1154417368
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1578656161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297900800000",
"number": "1336109727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 N HARVARD AVE",
"address_2": "SUITE E",
"city": "TULSA",
"state": "OK",
"postal_code": "741154957",
"telephone_number": "918-832-6049",
"fax_number": "918-832-6055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 MEDICAL PKWY",
"address_2": "100",
"city": "CLAREMORE",
"state": "OK",
"postal_code": "740171088",
"telephone_number": "918-341-1000",
"fax_number": "918-293-3141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "MICHAEL",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-28",
"last_updated": "2011-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "12946",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100119730A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Claremore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; 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.