NPIMap

Individual provider Active NPI

Shon William Cook, MD

  • Neurological Surgery Physician
  • Oklahoma City, OK
National Provider Identifier
1629060660
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
24168 Issued in OK
Practice address
10001 S Western Ave Ste 101
Oklahoma City, OK 73139-2993
Phone
(405) 310-6977
Fax
(405) 701-5006
NPI assigned
Aug 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 22474 ND
Neurological Surgery Physician 207T00000X 24168 OK Primary

Addresses

Primary practice location

10001 S Western Ave Ste 101
Oklahoma City, OK 73139-2993

Mailing address

5301 White Fences
Oklahoma City, OK 73131-6603
Phone (405) 308-7482

Other practice location 1

3000 32nd Ave S
Fargo, ND 58103-6132
Phone (701) 364-8000

Other identifiers 2

IdentifierTypeStateIssuer
200045110AMedicaidOK
P00213656OtherOKRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, ND, MN3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050120000616 OK Practitioner - Neurosurgery 0042269169 Reassigns benefits to 1 organization
I20250806001864 ND Practitioner - Neurosurgery 0042269169 Reassigns benefits to 1 organization
I20260302000304 MN Practitioner - Neurosurgery 0042269169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovis Health LLCGroup PAC ID 9931298155, 561 clinicians
The Duluth Clinic LTDGroup PAC ID 2567374283, 1,135 clinicians

Practice addresses (Care Compare)

10001 S Western Ave
Suite 101
Oklahoma City, OK 73139-2993
Phone (405) 310-6977

3000 32ND Ave S
Fargo, ND 58103-6132
Phone (701) 364-8000

400 E 3Rd St
Duluth, MN 55805-1951
Phone (218) 786-8364

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion24
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22474NDMDNeurological Surgery Physician
24168OKMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Duluth Clinic LTD CurrentSince Feb 23, 2026 Accepting new patients
Innovis Health LLC CurrentSince Jul 24, 2025 Accepting new patients
Innovis Health, LLC Current Accepting new patients
The Duluth Clinic, LTD. CurrentSince Feb 23, 2026 Accepting new patients
Innovis Health, LLC. CurrentSince Jul 24, 2025 Accepting new patients
Summit Medical Center Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Jeffrey P Nees MD PC Neurological Surgery Past Accepting new patients
Community Hospital LLC Past Accepting new patients

Locations

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

3000 32nd Ave S
Fargo, ND 58103
Phone (701) 364-3000

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1629060660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 WHITE FENCES",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731316603",
            "telephone_number": "405-308-7482",
            "fax_number": "405-701-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10001 S WESTERN AVE STE 101",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731392993",
            "telephone_number": "405-310-6977",
            "fax_number": "405-701-5006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 32nd Ave S",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581036132",
            "country_code": "US",
            "telephone_number": "701-364-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "SHON",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "ND",
            "license": "22474",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OK",
            "license": "24168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200045110A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00213656",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.