Richard Lee Cooper, D.O.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

3519 Issued in OK

Practice address

10131 S Yale Ave
Tulsa, OK 74137-6002

Phone

(918) 369-6274

Fax

(918) 369-6278

NPI assigned

Mar 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2026 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Dr Theresa Ann Cooper PC

  • Family Medicine Physician
  • Tulsa, OK
  • NPI 1902003379
  NPD
• Ahs Henryetta Hospital LLC

  • Rural Health Clinic/Center
  • Henryetta, OK
  • NPI 1871008722
  NPD (past)

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

{
    "created_epoch": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1679533384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10131 S YALE AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741376002",
            "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",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741376002",
            "telephone_number": "918-369-6274",
            "fax_number": "918-369-6278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "RICHARD",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-25",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OK",
            "license": "3519",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OK",
            "license": "3519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100113930C",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Marc Cooper, M.D.
• Meredith Cooper
• Paul Cooper, PH.D.
• Phoenix Soleil-Maria Cooper
• Reginald W Cooper, RN
• Shelah Ruth Cooper, RD
• Stephanie Marie Cooper, O.D.
• Sunny Shirene Cooper
• Theresa Ann Cooper, D.O.
• Tina Cooper, LPC

• General Practice Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• General Practice Physician in Oklahoma

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.