Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Shawn Coppock

Individual provider Certified Registered Nurse Anesthetist · NPI 1104516210

Michael Shawn Coppock is a Certified Registered Nurse Anesthetist (CRNA) in Oklahoma City, Oklahoma. Qualified in 2021, 5 years ago. Practices with McBride Clinic Orthopedic Hospital, LLC, a 100-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
5
Licensed in
OK
In the registry since
2023
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Practice location Address checks out

9600 Broadway Ext
Oklahoma City, OK 73114-7408
Phone: (405) 715-3610
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 212739 (OK)

Record details

NPI number1104516210
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 11, 2023
Last updated in NPPESMay 11, 2023
Certification dateMay 11, 2023

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice McBride Clinic Orthopedic Hospital, Llc — 100 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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