Individual provider Active NPI

William Craig Cook, MD

  • Internal Medicine Physician
  • Broken Arrow, OK
National Provider Identifier
1891759213
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
16210 Issued in OK
Practice address
817 S Elm PL Ste a
Broken Arrow, OK 74012-5369
Phone
(918) 251-2273
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 16210 OK Primary

Addresses

Primary practice location

817 S Elm PL Ste a
Broken Arrow, OK 74012-5369

Mailing address

601 S Harbour Island Blvd Ste 200
Tampa, FL 33602-5925
Phone (800) 480-5243

Other practice location 1

9322 E 41st St
Tulsa, OK 74145-3721
Phone (918) 628-2500

Other practice location 2

3138 S Garnett Rd
Tulsa, OK 74146-1933
Phone (918) 203-7005

Other identifiers 1

IdentifierTypeStateIssuer
100102210AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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

Enrollment IDStateProvider typePAC IDDetails
I20040211000420 OK Practitioner - Internal Medicine 1355235383 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16210OKMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
National Family Medical Associates, LLC Internal Medicine CurrentSince Nov 13, 2023 Accepting new patients
Archwell Health Professional Services of Oklahoma, LLC Internal Medicine CurrentSince Oct 15, 2024 Accepting new patients
St. John Physicians, Inc CurrentSince Aug 23, 2021 Accepting new patients
St. John Physicians, Inc. Internal Medicine Current Accepting new patients
Omni Medical Group Inc Internal Medicine CurrentSince Nov 27, 2021 Accepting new patients
Pacific Physician Services, LLC Past Accepting new patients
Broken Arrow Medical Group LLC Internal Medicine Past Accepting new patients
Pacific Physician Services, LLC Past Accepting new patients

Locations

601 S Harbour Island Blvd
Ste 200
Tampa, FL 33602
Phone (727) 322-3439

817 S Elm Pl
Broken Arrow, OK 74012
Phone (918) 251-2273

800 W Boise Cir
Ste 160
Broken Arrow, OK 74012
Phone (918) 994-9160

817 S Elm Pl
Ste A
Broken Arrow, OK 74012
Phone (918) 251-2273

1145 S Utica Ave
Ste 202
Tulsa, OK 74104
Phone (918) 560-3838

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345

3138 S Garnett Rd
Tulsa, OK 74146
Phone (918) 203-7005

7912 E 31st Ct
Ste 220
Tulsa, OK 74145
Phone (352) 572-5457

102 Woodmont Blvd
Ste 600
Nashville, TN 37205

Interoperability endpoints

  • Direct secure messaging: william.cook@133635819438084.direct.elationemr.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1891759213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S HARBOUR ISLAND BLVD STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025925",
            "telephone_number": "800-480-5243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 S ELM PL STE A",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740125369",
            "telephone_number": "918-251-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9322 E 41st St",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741453721",
            "country_code": "US",
            "telephone_number": "918-628-2500",
            "fax_number": "918-628-2529",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3138 S Garnett Rd",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741461933",
            "country_code": "US",
            "telephone_number": "918-203-7005",
            "fax_number": "918-203-0565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "WILLIAM",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "16210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100102210A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

Verify at the official NPI Registry.