Active NPI
Robert C Cobb, DO
- Emergency Medicine Physician
- Tulsa, OK
National Provider Identifier
1871565655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 2014
- Practice address
- 9716 Reverside Pkwy
Ste 100
Tulsa, OK 74137 - Phone
- (918) 299-4333
- Fax
- (918) 299-4330
- NPI assigned
- Feb 6, 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 2014 | OK | Primary |
Addresses
Primary practice location
9716 Reverside Pkwy
Ste 100
Tulsa, OK 74137
Mailing address
9716 Reverside Pkwy
Ste 100
Tulsa, OK 74137
Phone (918) 299-4333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100231190A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014 | OK | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southcrest Emergency Physicians PC | Past | Accepting new patients |
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Tulsa, OK
- NPI 1205816048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384473600000",
"number": "1871565655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9716 REVERSIDE PKWY",
"address_2": "STE 100",
"city": "TULSA",
"state": "OK",
"postal_code": "74137",
"telephone_number": "918-299-4333",
"fax_number": "918-299-4330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9716 REVERSIDE PKWY",
"address_2": "STE 100",
"city": "TULSA",
"state": "OK",
"postal_code": "74137",
"telephone_number": "918-299-4333",
"fax_number": "918-299-4330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COBB",
"first_name": "ROBERT",
"middle_name": "C",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-06",
"last_updated": "2013-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OK",
"license": "2014",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100231190A",
"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 Nov 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.