MR. RANDAL PAUL COOK (NPI# 1952688509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952688509 |
| Entity Type | Individual |
| Full Name | MR. RANDAL PAUL COOK |
| Credential | PA-C |
| Practice Address |
802 S Jackson Ave Ste 225 Tulsa OK 74127-9049 |
| Mailing Address |
2401 Southwest Bouelvard Tulsa OK 74107-2726 |
| Practice Telephone | 9185827711 |
| Practice Fax Number | 9185835831 |
| Mailing Telephone | 9185615701 |
| Mailing Fax Number | 9185611173 |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2020-01-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2042 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200409710A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144430232 | Randal P Cook | Counselor | 930 G St, Sacramento, CA 95814-1802 | 2007-05-23 |
| Street Address |
802 S JACKSON AVE STE 225 |
| City | TULSA |
| State | OK |
| Zip Code | 74127-9049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922080860 | David Matthew Wilkett | Internal Medicine | 802 S Jackson Ave Ste 225, Tulsa, OK 74127-9049 | 2005-11-16 |
| 1982026456 | Rebecca Stephen | Physician Assistant | 802 S Jackson Ave Ste 225, Tulsa, OK 74127-9049 | 2014-01-17 |
| 1396004636 | Tucker James Harrison | Internal Medicine | 802 S Jackson Ave Ste 225, Tulsa, OK 74127-9049 | 2012-05-07 |
| 1467698324 | Steve Kim | Internal Medicine | 802 S Jackson Ave Ste 225, Tulsa, OK 74127-9049 | 2008-12-26 |
| 1386820934 | Vitalsound L. L. C. | Clinical Medical Laboratory | 802 S Jackson Ave Ste 225, Tulsa, OK 74127-9049 | 2008-01-14 |
| 1306064944 | Sharolyn D Cook | Internal Medicine | 802 S Jackson Ave Ste 225, Tulsa, OK 74127-9049 | 2007-04-20 |
| 1932163565 | Daniel E Wildes | Internal Medicine | 802 S Jackson Ave Ste 225, Tulsa, OK 74127 | 2006-04-12 |
| 1336102342 | Shane S. Yamane | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 802 S Jackson Ave Ste 225, Tulsa, OK 74127 | 2006-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366966699 | Tarell Lynell Earl | Case Manager/Care Coordinator | 602 N. 28th W. Pl., Tulsa, OK 74127 | 2017-07-28 |
| 1023538014 | Milton Dean IIi | Counselor | 1234 N Rosedale, Tulsa, OK 74127 | 2017-06-21 |
| 1740700988 | Lisa Lee Ann Gilliland | Case Manager/Care Coordinator | 2001 W Ute Pl, Tulsa, OK 74127 | 2017-06-20 |
| 1114456498 | Kevin Thomas Jackson | Counselor | 310 S 49th W Ave, Tulsa, OK 74127 | 2017-06-08 |
| 1427406180 | Byron Conrad Dixon Jr. | Case Manager/Care Coordinator | 551 N. 28th W. Ave., Tulsa, OK 74127 | 2016-06-02 |
| 1548621568 | Brandon Worth | Student in an Organized Health Care Education/Training Program | 717 S. Houston Ave., Suite 400, Tulsa, OK 74127 | 2016-03-18 |
| 1073987467 | Jo Lowe | Social Worker | 420 S. Lawton Ave. Apt 315, Tulsa, OK 74127 | 2015-11-23 |
| 1154718575 | William Hughes | Health Educator | 3101 W Edison, Tulsa, OK 74127 | 2015-04-23 |
| 1801289665 | Kristyn Janelle Zrenda | Student in an Organized Health Care Education/Training Program | 717 S. Houston Ave., Suite 400, Tulsa, OK 74127 | 2015-03-17 |
| 1831595719 | Mallory Yarbrough | Counselor | 3005 N 24th West Ave, Tulsa, OK 74127 | 2014-11-05 |
| Find all providers in zip 74127 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073154647 | Haley Nicole Beaird | Physician Assistant | 8907 E 93rd St, Tulsa, OK 74133-5634 | 2019-10-03 |
| 1790155562 | Caldwell Medical Group of North Tulsa LLC | Physician Assistant | 8014 S 101st East Ave, Tulsa, OK 74133-4579 | 2015-10-05 |
| 1609298330 | Marci Love Deck | Physician Assistant | 2000 S Wheeling Ave Ste 1000, Tulsa, OK 74104-5648 | 2014-01-15 |
| 1619216272 | Nicole Lisette Mancinelli | Physician Assistant | 2424 E. 21st Street, Suite 320, Tulsa, OK 74114 | 2013-02-01 |
| 1184959389 | Erin Nicole Jones | Physician Assistant | 11212 E 48th St., Oklahoma Oncology, Tulsa, OK 74146-5806 | 2009-10-06 |
| 1194901793 | Annamae Kay | Physician Assistant | 1919 South Wheeling Ave, Ste 304, Tulsa, OK 74104 | 2008-01-14 |
| 1265632129 | Oklahoma Occupational Health Center | Physician Assistant | 5640 S Memorial Dr, Tulsa, OK 74145-9001 | 2007-07-19 |
| 1962535831 | Njanja Margaret Ruenji | Physician Assistant | Morton Comprehensive Health Services, 1334 N. Lasing Ave, Tulsa, OK 74106-5907 | 2007-03-13 |
| 1740355460 | Jeri Clark Goen | Physician Assistant | 3807 S Peoria Ave, Suite G and H, Tulsa, OK 74105-3145 | 2006-11-21 |
| 1790879237 | Steven Paul Henry | Physician Assistant | 10506 South Memorial Drive, Tulsa, OK 74133 | 2006-10-02 |
| Find all providers in TULSA | ||||
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| 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.