SETH ALDEN COOKERLY (NPI# 1245577659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245577659 |
| Entity Type | Individual |
| Full Name | SETH ALDEN COOKERLY |
| Credential | PA-C |
| Practice Address |
40 Hospital Rd Fairfax OK 74637-5084 |
| Mailing Address |
603a Methodist Ave Perkins OK 74059-9111 |
| Practice Telephone | 9186423291 |
| Mailing Telephone | 4057629038 |
| Mailing Fax Number | 9186423694 |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2013-01-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2209 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
40 HOSPITAL RD |
| City | FAIRFAX |
| State | OK |
| Zip Code | 74637-5084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982233466 | Rural Wellness Fairfax Inc | Medicare Defined Swing Bed Unit | 40 Hospital Rd, Fairfax, OK 74637-5084 | 2020-04-06 |
| 1790314466 | Rural Wellness Fairfax Inc | Clinic/Center | 40 Hospital Rd, Fairfax, OK 74637-5084 | 2020-04-05 |
| 1295362564 | Rural Wellness Fairfax Inc | General Acute Care Hospital | 40 Hospital Rd, Fairfax, OK 74637-5084 | 2020-03-25 |
| 1417317140 | Renee A Weatherford | Nurse Practitioner | 40 Hospital Rd, Fairfax, OK 74637-5084 | 2016-02-23 |
| 1992071179 | Starla M Allen | Family Medicine | 40 Hospital Rd, Fairfax, OK 74637-5084 | 2012-04-01 |
| 1306145339 | Cah Acquisition Company 12 LLC | Clinic/Center | 40 Hospital Rd, Fairfax, OK 74637 | 2011-03-16 |
| 1134451396 | Cah Acquisition Company 12 LLC | Medicare Defined Swing Bed Unit | 40 Hospital Rd, Fairfax, OK 74637 | 2010-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588725485 | Michael S Ben Inc PC | Dentist | 161 N 2nd Street, Fairfax, OK 74637 | 2006-12-13 |
| 1376554006 | Fairfax Healthcare Properties,llc | General Acute Care Hospital | Hwy 18 & Taft Avenue, Fairfax, OK 74637-0219 | 2006-08-10 |
| 1922143098 | Fairfax Healthcare Properties,l.l.c. | Medicare Defined Swing Bed Unit | Hwy 18 & Taft Avenue, Fairfax, OK 74637-0219 | 2007-02-20 |
| 1679613970 | Elmer Gari Owens | Physician Assistant | Hwy 18 & Taft Avenue, Fairfax, OK 74637-0219 | 2007-02-07 |
| 1861502635 | Madison Medical LLC | Durable Medical Equipment & Medical Supplies | 115 W. Maple, Fairfax, OK 74637-1533 | 2006-08-30 |
| 1962911123 | Oklahoma Advantage Storehouse, LLC | Durable Medical Equipment & Medical Supplies | 403 N Main St, Fairfax, OK 74637-1547 | 2017-09-20 |
| 1780853382 | Wanda W Priddy | Social Worker | 301 N 2nd St, Fairfax, OK 74637-2012 | 2008-02-27 |
| 1689628711 | Jean M Helmbright | Psychiatry & Neurology | 301 N 2nd St, Fairfax, OK 74637-2012 | 2006-05-22 |
| 1518073006 | Michael S Ben | Dentist | 161 N 2nd St, Fairfax, OK 74637-2063 | 2006-08-21 |
| 1346382066 | Fairfax Healthcare Properties, LLC | Home Health | 153 N Main St, Fairfax, OK 74637-3022 | 2007-02-12 |
| Find all providers in zip 74637 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396366555 | Sheelon Aghili | Physician Assistant | 5801 Hampton Forest Way, Fairfax, VA 22030-7254 | 2020-04-29 |
| 1114327087 | Bach-duong Dinh | Physician Assistant | 8316 Arlington Blvd Ste 401, Fairfax, VA 22031-5216 | 2014-08-28 |
| 1760633283 | Xyz Clinic | Physician Assistant | 17000 Breeze Lane, Fairfax, VA 22033 | 2008-10-02 |
| 1184810574 | Elizabeth Colella Johnson | Physician Assistant | 3022 Williams Dr #300, Fairfax, VA 22031 | 2007-09-19 |
| 1548322159 | Tsion Tewolde | Physician Assistant | 3600 Joseph Siewick, Drivefair Oaks Hospitalist Group, Fairfax, VA 22033 | 2006-12-14 |
| 1841307956 | Danielle M Landzinski | Physician Assistant | 10615 Judicial Dr Ste 401, Fairfax, VA 22030-7501 | 2006-08-24 |
| 1902873565 | Danielle Ali Layton | Physician Assistant | 3028 Javier Rd, Suite 300, Fairfax, VA 22031-4622 | 2006-03-02 |
| 1215437413 | Caitlin Noelle Fortune | Physician Assistant | 3700 Joseph Siewick Dr Ste 308, Fairfax, VA 22033-1739 | 2018-02-15 |
| 1396270310 | Jessica Nicole Ortega | Physician Assistant | 3620 Joseph Siewick Dr Ste 201, Fairfax, VA 22033-1758 | 2017-04-27 |
| 1295116952 | Faith Saunders | Physician Assistant | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2015-06-17 |
| Find all providers in FAIRFAX | ||||
Please comment or provide details below to improve the information on SETH ALDEN COOKERLY.
| 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.