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Physician Compare National (NPI:1376511204)

HEALTHCARE PROVIDER: FRANKLIN D COOPER II DPM

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1376511204
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 7517946270
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20040715001330
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name COOPER
Individual professional last name
Provider First Name FRANKLIN
Individual professional first name
Provider Middle Name D
Individual professional middle name
Provider Name Suffix Text JR.
The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender M
The provider's gender if the provider is a person.
Provider Credential Text DPM
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information

Medical School Name KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Individual professional's medical school
Graduation Year 2001
Individual professional's medical school graduation year
Primary Specialty PODIATRY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name SOUTHERN OKLAHOMA PODIATRY SERVICES PLLC
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 2567568751
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 2
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 2002 12TH AVE NW
Group Practice or individual's line 1 address
Line 2 Street Address SUITE F
Group Practice or individual's line 2 address
City ARDMORE
Group Practice or individual's city
State OK
Group Practice or individual's state
Zip Code 734011206
Group Practice or individual's zip code (9 digits when available)
Phone Number 5802230718
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 370047
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 MERCY HOSPITAL ARDMORE, INC
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment Y

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