Richard Ellis Cooke
Radiology (Diagnostic Radiology)

Address: 4625 S Western Ave, Oklahoma City, OK 73109-3831
Phone: 4056322323

Richard Ellis Cooke (NPI# 1962468082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1962468082
Entity Type Individual
Full Name Richard Ellis Cooke
Credential MD
Gender Male
Practice Address 4625 S Western Ave
Oklahoma City
OK 73109-3831
Practice Telephone 4056322323
Practice Fax Number 4056319315
Mailing Address Po Box 95818
Oklahoma City
OK 73143-5818
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-04-26
Last Update Date 2008-03-24

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 2085R0202X Radiology · Diagnostic Radiology Allopathic & Osteopathic Physicians 14463 OK

Other Provider Identifier

State Identifier Issuer Type Code
OK 10111070A MEDICAID

Other Providers RICHARD COOKE

NPI Name Taxonomy Address Enumeration
1306041579 Richard Noel Cooke Counselor 4625 Florida St, San Diego, CA 92116-2769 2007-06-18
1740320670 Richard R. Cooke II Family Medicine 1125 E Broadway, Box 71, Glendale, CA 91205-1315 2007-02-08
1659463909 Richard William Cooke Nurse Anesthetist, Certified Registered 624 E Elder Street, Fallbrook, CA 92028 2006-09-28
1437605839 Richard Cooke IIi Occupational Therapist 546 Main St, Coventry, RI 02816-7852 2016-08-26
1447378658 Richard Thomas Cooke Dentist 2300 Wayne Memorial Dr, Suite H, Goldsboro, NC 27534-1726 2007-03-26
1730127507 Richard Henry Cooke Internal Medicine 1250 E Marshall St, Internal Medicine, Richmond, VA 23298-5051 2006-06-03
1518924216 Richard J Cooke Pediatrics 2516 Stockton Blvd, Sacramento, CA 95817-2208 2006-04-27

Physician Overview

NPI 1962468082
PAC ID by PECOS 3577698778
Professional Enrollment ID I20101210001037
Full Name Richard E Cooke
Organization Legal Name RADIOLOGY CONSULTANTS INC
Phone Number 4057551515
Gender M
Medical School UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduation Year 1982
Primary Specialty DIAGNOSTIC RADIOLOGY
Group Practice PAC ID 6204723547
Number of Group Practice Members 22
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
370013 MERCY HOSPITAL OKLAHOMA CITY, INC
370215 OKLAHOMA HEART HOSPITAL, LLC
371313 MERCY HOSPITAL KINGFISHER
371317 MERCY HOSPITAL LOGAN COUNTY, INC
370011 MERCY HOSPITAL EL RENO

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
PQRS_EP_145_1 Radiology: Exposure Time Reported for Procedures Using Fluoroscopy 93%
PQRS_EP_147_1 Nuclear Medicine: Correlation with Existing Imaging Studies for All Patients Undergoing Bone Scintigraphy 86%
PQRS_EP_195_1 Radiology: Stenosis Measurement in Carotid Imaging Reports 100%

Office Location

Street Address 4625 S WESTERN AVE
City OKLAHOMA CITY
State OK
Zip Code 73109-3831

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811965031 Howard G Daniel Radiology 4625 S Western Ave, Oklahoma City, OK 73109-3831 2006-03-14
1003288978 Ernest Mckenzie Md PC Radiology 4625 S Western Ave, Oklahoma City, OK 73109-3831 2015-10-30
1386016210 John Hamlin Md PC Radiology 4625 S Western Ave, Oklahoma City, OK 73109-3831 2015-10-30
1003132978 Bryan Lee Vanzandt Radiology 4625 S Western Ave, Oklahoma City, OK 73109-3831 2010-04-15
1922285790 Mathew Thomas Makel Radiology 4625 S Western Ave, Oklahoma City, OK 73109-3831 2008-01-23
1750576732 Lance Matthews Garber Radiology 4625 S Western Ave, Oklahoma City, OK 73109-3831 2007-09-12
1275675092 Joel Thomas Neurological Surgery 4625 S Western Ave, Oklahoma City, OK 73109-3831 2007-02-12
1669579223 Diagnostic Imaging Group Radiology 4625 S Western Ave, Oklahoma City, OK 73109-3831 2006-09-17
1275556755 Steven R O'dell Physician Assistant 4625 S Western Ave, Oklahoma City, OK 73109 2006-07-25
1255389607 Rebecca Goen Stough Radiology 4625 S Western Ave, Oklahoma City, OK 73109-3831 2006-05-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063905354 Housecalls Family Medicine 4413 S Lee Ave, Oklahoma City, OK 73109 2018-06-11
1225559404 John Nathan Jacobsen Dentist 235 Sw 25th St., Oklahoma City, OK 73109 2017-06-28
1659828648 Cynthia Jane Laney Registered Nurse 4401 South Western, Oklahoma City, OK 73109 2016-09-07
1497104780 Hazel Soto Case Manager/Care Coordinator 420 Sw, St, Oklahoma, OK 73109 2016-06-07
1063873677 Ardeceley Brandi Annette Hernandez Community/Behavioral Health 5714 S. Western Ave, Oklahoma City, OK 73109 2016-03-09
1316343908 Van Ngo Nurse Practitioner 4413 South Lee Ave, Oklahoma City, OK 73109 2014-11-10
1104249150 Janessa Ladawn Bointy Counselor 5359 S. Western Ave. #707, Oklahoma City, OK 73109 2014-01-28
1033540299 Bryan Graham Case Manager/Care Coordinator 1111 Sw 28th St, Oklahoma City, OK 73109 2013-12-12
1154684603 Nubia Fiesel Counselor 420 Sw 10th Street, Oklahoma City, OK 73109 2012-06-20
1548533664 C.c. Freeman, Md. Inc Internal Medicine 4221 S. Western Ave., Suite 2015, Oklahoma City, OK 73109 2012-02-21
Find all providers in zip 73109

Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457771909 Jacob Azurdia Radiology 3300 Nw Expressway Bldg. D Ste. 190, Integris Baptist Medical Center, Oklahoma City, OK 73112-2595 2014-04-23
1053601237 Anjali Lal Radiology 940 Ne 13th St Ste 4g4250, Oklahoma City, OK 73104 2011-04-08
1295045433 Oliver A. Cvitanic Md, PC Radiology 230 Sw 80th St, Oklahoma City, OK 73139-8107 2010-10-20
1356652515 Franklin C. Nwoke Radiology 1325 N Walker Ave Apt 428, Oklahoma City, OK 73103-6411 2010-06-23
1215257225 Michael P Murphy Radiology 13108 Red Cedar Cir, Oklahoma City, OK 73131-1860 2010-06-02
1568787489 Mohamed Nabil Attaya Radiology 1100 North Lindsay, University of Oklahoma, Oklahoma City, OK 73104 2010-04-03
1396876025 Lawrence Churng-shyuh Fan Radiology 5300 W Memorial Rd, Apt. 22p, Oklahoma City, OK 73142 2007-03-07
1780762195 Christian Leigh Koopman Radiology 940 N.e. 13th St, Garrison Tower, Suite 4g4250, Radiological Sciences, Oklahoma City, OK 73104 2006-11-02
1891886354 Mobile X-ray Services Inc Radiology 8200 N Classen Blvd, Suite 123, Oklahoma City, OK 73114-2128 2006-09-27
1538267208 Oliver Anthony Cvitanic Radiology 9901 S Pennsylvania Ave, Oklahoma City, OK 73159-6920 2006-09-20
Find all providers in OKLAHOMA CITY

Competitor

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City OKLAHOMA CITY
Zip Code 73109

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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