DR. JERED M. COOK M.D. NPI 1558619338

NPI Information

NPI: 1558619338
Provider Name: DR. JERED M. COOK, M.D.
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Organization: INTEGRIS CARDIOVASCULAR PHYSICIANS LLC

PECOS Registration: Yes

Address:
3433 NW 56TH ST STE 660
OKLAHOMA CITY, OK
ZIP 73112
Phone: (405) 947-3341
Get Directions

DR. Jered M. Cook, M.D. is a cardiovascular disease internal medicine in Oklahoma City, OK with 12 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Jered M. Cook, M.D. NPI is 1558619338. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3433 NW 56TH ST STE 660
OKLAHOMA CITY, OK
ZIP 73112-449
Phone: (405) 947-3341
Fax: (405) 917-3590

The NPI 1558619338 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/27/2012 and was last updated on 11/19/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	34453	OKLAHOMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0304338	MEDICAID	OHIO
2	200849050A	MEDICAID	OKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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