Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jordan Fayth Cooke, PA-C

Individual provider Surgical Physician Assistant · NPI 1033628383

Jordan Fayth Cooke, PA-C is a Physician Assistant in Tyler, Texas. Qualified in 2017, 9 years ago. Practices with Ortholonestar PLLC, a 415-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
9
Licensed in
TX
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

8101 S Broadway Ave
Tyler, TX 75703-5469
Phone: (903) 939-7500
Fax: (903) 939-7728
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 708 E Corsicana St, Athens, TX 75751-2627 — (903) 939-7500
  • 925 W Loop 281, Longview, TX 75604-2918 — (903) 939-7500
  • 305 W 20th St, Mt Pleasant, TX 75455-2327 — (903) 939-7500
  • 3414 Golden Rd, Tyler, TX 75701-8336 — (903) 939-7500

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA11584 (TX)

Record details

NPI number1033628383
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 28, 2017
Last updated in NPPESFebruary 22, 2022
Certification dateFebruary 22, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Ortholonestar Pllc — 415 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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