Organization Active NPI

Dr Theresa Ann Cooper PC

  • Family Medicine Physician
  • Tulsa, OK
National Provider Identifier
1902003379
Registry record updated Oct 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3520 Issued in OK
Legal business name
DR THERESA ANN COOPER PC
Practice address
10131 S Yale Ave
Tulsa, OK 74137
Phone
(918) 299-9779
Fax
(918) 477-2779
NPI assigned
Jun 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2007

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

Authorized official

Name
Mrs. Laveene Cooper
Title
Biller
Phone
(918) 299-9779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 3520 OK Primary

Addresses

Primary practice location

10131 S Yale Ave
Tulsa, OK 74137

Mailing address

10131 S. Yale
Tulsa, OK 74137
Phone (918) 299-9779

National Provider Directory

National Provider Directory

Locations

8315 E 111th St S
Ste D
Bixby, OK 74008
Phone (918) 369-6274

10131 S Yale Ave
Tulsa, OK 74137
Phone (918) 299-9779

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1902003379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10131 S. YALE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74137",
            "telephone_number": "918-299-9779",
            "fax_number": "918-477-2779"
        },
        {
            "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": "74137",
            "telephone_number": "918-299-9779",
            "fax_number": "918-477-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR THERESA ANN COOPER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "LAVEENE",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "918-299-9779",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "3520",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.