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Active NPI 1649334863 Individual Practitioner Male Practitioner

Larry Ray Coppock , CCP LP RN

Perfusionist • Oklahoma City, OK

Professional Overview & Biography Verified Profile Summary

Larry Coppock, CCP LP RN is a registered healthcare professional specializing in Perfusionist in Oklahoma City, OK. Practice services are available at 3601 N MAY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3601 N May Ave
Suite C

Oklahoma City, OK 731126641

Telephone 4056045613
Fax 4056013750
Associated Practice Facility / Clinic
🏢 United Biotech Inc Facility NPI 1699821645

Specialty Benchmarks & Practice Insights

Comparative analytics for Perfusionist in Oklahoma City, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
14 Specialists

Practicing in Oklahoma City, OK (16 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

Perfusionist Primary Specialty

NUCC Taxonomy Code: 242T00000X

State License OK LP7

A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient's circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used.

Technician, Other

NUCC Taxonomy Code: 247200000X

State License OK LP7

A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bcbs
731213482002
Commercial Insurance / Payer ID Aetna
5993501

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

27 Associated Practitioners
Janie Tubb , MSW

Social Worker - Clinical

NPI 1023110491

Master of Social Work

Thomas Preston

Perfusionist

NPI 1063875318
Jenny Wilson , RN

Registered Nurse

NPI 1093071805

Registered Nurse

NPI 1154486629

CCPLP

NPI 1164533915
Nick Rosecrans

Perfusionist

NPI 1164828133

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 24, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location August 24, 2011

Registered at 3601 N MAY AVE, SUITE C, OKLAHOMA CITY, OK 731126641 (Tel: 4056045613)

📍
Updated Business Mailing Address August 24, 2011

Registered at PO BOX 12815, 3601 N MAY AVENUE SUITE C, OKLAHOMA CITY, OK 731572815 (Tel: 4056045613)

👤
Provider Name / Credentials Updated August 24, 2011

Recorded as LARRY COPPOCK, CCP LP RN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2011

Technician, Other (License #LP7 in OK)

🟢
Initial NPI Registration & Enumeration December 21, 2006

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: 1649334863
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 21, 2006
Last Update: August 24, 2011
Sole Proprietor: No

Mailing Address

Po Box 12815, 3601 N May Avenue Suite C

Oklahoma City, OK 731572815

Phone: 4056045613

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.