Active NPI
Cameron Lee Coker, C.P.O.
- Prosthetist
- Redmond, OR
National Provider Identifier
1982918793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- CPO02286
- Practice address
- 735 SW 11TH St Ste 103
Redmond, OR 97756-2660 - Phone
- (541) 788-3376
- NPI assigned
- Aug 4, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | CPO02286 | DE | |
| Prosthetist | 224P00000X | CPO02286 | DE | Primary |
Addresses
Primary practice location
735 SW 11TH St Ste 103
Redmond, OR 97756-2660
Mailing address
3166 NW Colonial Dr
Bend, OR 97703-5518
Phone (541) 788-3376
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CPO02286 | DE | MD | Orthotist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Larscorp LLC | Orthotist | Current | Accepting new patients |
Locations
735 SW 11th St
Ste 103
Redmond, OR 97756
Phone (541) 788-3376
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581897600000",
"number": "1982918793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3166 NW COLONIAL DR",
"city": "BEND",
"state": "OR",
"postal_code": "977035518",
"telephone_number": "541-788-3376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "735 SW 11TH ST STE 103",
"city": "REDMOND",
"state": "OR",
"postal_code": "977562660",
"telephone_number": "541-788-3376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COKER",
"first_name": "CAMERON",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "C.P.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-04",
"last_updated": "2020-02-17",
"certification_date": "2020-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "DE",
"license": "CPO02286",
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "DE",
"license": "CPO02286",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redmond, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.