SCOTT A COOPER, PA-C, Medical ARDMORE, OK

Contact Information

SCOTT A COOPER, PA-C

1420 12TH AVE NW
ARDMORE, OK 73401

Phone: 580-798-4122
Fax: 580-405-2048
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Medical	363AM0700X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for SCOTT A COOPER · (Male)

NPI #	`1427335348`
Status	Active
Credentials	PA-C (Physician Assistant-Certified)
Entity	Individual
Enumeration date	11/06/2011
Last updated	10/28/2024 - More than a year ago
Sole proprietor ¹	No
Identifiers	AK License # 126935 AR License # PA-1286 CA License # 55258 MT License # MED-PAC-LIC-60682 OK License # 2044 WA License # 60779055
Hospital affiliation(s)	MERCY HOSPITAL TISHOMINGO - (Critical Access) 1000 SOUTH BYRD TISHOMINGO, OK 73460 MERCY MEMORIAL HEALTH CENTER - (Acute Care) 1011 FOURTEENTH AVENUE, NORTHWEST ARDMORE, OK 73401

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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