Organization Active NPI

Dr Richard Lee Cooper PC

  • Clinic/Center
  • Tulsa, OK
National Provider Identifier
1508063975
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DR RICHARD LEE COOPER PC
Practice address
10131 S Yale Ave Ste 200
Tulsa, OK 74137-6012
Phone
(918) 299-9779
Fax
(918) 477-2779
NPI assigned
Jun 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Authorized official

Name
Mrs. Lynzee White
Title
Medical Assistant
Phone
(918) 299-9779

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 3519 OK
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

10131 S Yale Ave Ste 200
Tulsa, OK 74137-6012

Mailing address

10131 S Yale Ave Ste 200
Tulsa, OK 74137-6012
Phone (918) 299-9779

Other identifiers 1

IdentifierTypeStateIssuer
100113930CMedicaidOK

National Provider Directory

National Provider Directory

Locations

10131 S Yale Ave
Ste 101
Tulsa, OK 74137
Phone (918) 299-9779

10131 S Yale Ave
Ste 200
Tulsa, OK 74137
Phone (918) 299-9779

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653350400000",
    "number": "1508063975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10131 S YALE AVE STE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741376012",
            "telephone_number": "918-299-9779",
            "fax_number": "918-609-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10131 S YALE AVE STE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741376012",
            "telephone_number": "918-299-9779",
            "fax_number": "918-477-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR RICHARD LEE COOPER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "LYNZEE",
        "authorized_official_title_or_position": "MEDICAL ASSISTANT",
        "authorized_official_telephone_number": "918-299-9779",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "OK",
            "license": "3519",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100113930C",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.