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Deactivated NPI 1093009920 Deactivated / Inactive NPI Male Practitioner

Dr. Jerry D Cockerell , DO

Orthopaedic Surgery • Kingston, OK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jerry Cockerell has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 08, 2011
NPI Deactivation Date October 02, 2024
Total Practice Duration ~13 Years of Practice (2011 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Jerry Cockerell, DO was a registered Orthopaedic Surgery practicing in Kingston, OK. Throughout an active medical career spanning 13 years, Dr. Cockerell provided care at the practice location at HC 72 BOX 329 until profile deactivation on 2024-10-02.

Practice Location & Contact Primary Location

Practice Address

Hc 72 Box 329

Kingston, OK 734398521

Telephone 5805642446

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Kingston, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.6 Yrs
Regional Practice Density
1 Specialists

Practicing in Kingston, OK (328 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License OK 2853

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 02, 2024

Record deactivated on October 02, 2024

NPI Profile Active June 08, 2011

NPI status registered as active in NPPES database

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Updated Practice Location June 08, 2011

Registered at HC 72 BOX 329, KINGSTON, OK 734398521 (Tel: 5805642446)

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Updated Business Mailing Address June 08, 2011

Registered at HC 72 BOX 329, KINGSTON, OK 734398521 (Tel: 5805642446)

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Provider Name / Credentials Updated June 08, 2011

Recorded as JERRY COCKERELL, DO

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2011

Orthopaedic Surgery (License #2853 in OK)

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Initial NPI Registration & Enumeration June 08, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093009920
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 08, 2011
Last Update: June 08, 2011
Deactivation Date: October 02, 2024

Mailing Address

Hc 72 Box 329

Kingston, OK 734398521

Phone: 5805642446

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.