Stephen D Coon, M.D.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

04-21532 Issued in KS

Practice address

1303 SW First American PL
Topeka, KS 66604-4059

Phone

(785) 234-3451

Fax

(785) 234-2550

NPI assigned

Jul 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KS

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Radiology and Nuclear Medicine LLC

  • Diagnostic Radiology Physician
  • Topeka, KS
  • NPI 1699733162

  Radiation Oncology

  Medicare reassignment NPD

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470614400000",
    "number": "1528098126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 SW FIRST AMERICAN PL",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666044059",
            "telephone_number": "785-234-2306",
            "fax_number": "785-234-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 SW FIRST AMERICAN PL",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666044059",
            "telephone_number": "785-234-3451",
            "fax_number": "785-234-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COON",
        "first_name": "STEPHEN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2016-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "KS",
            "license": "04-21532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100131700B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PREMIER BLUE",
            "identifier": "052498",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelby F Cook
• Shirley K Cook, LMSW
• Dennis Michael Cooley, M.D.
• Derek A Cooley
• Margaret Ellen Cooley, APRN
• Adrianne M Cooper
• Ashley Malynn Cooper, LPC
• Chanece Cooper, LPC
• Freddy N Cooper, MD
• Jamie B Cooper

• Radiation Oncology Physician in Topeka, KS
• Providers in Topeka, KS by specialty
• Radiation Oncology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.