Tom Cooper, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

05774 Issued in MS

Practice address

561 Medical Dr
Clarksdale, MS 38614-6733

Phone

(662) 627-5256

NPI assigned

Sep 14, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

University of Mississippi School of Medicine, 1969

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cooper - Pang Eye Clinic PAGroup PAC ID 9638299787, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• MS PPO C-SNP
• devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
• TN PPO C-SNP
• MS PPO
• MS PPO D-SNP
• AL HMO D-SNP
• TN PPO
• AL HMO
• devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
• devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68

Interoperability endpoints

• Direct secure messaging: nwmtcoope@yourcarecommunity.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cooper - Pang Eye Clinic, P.a.

  • Ophthalmology Physician
  • Clarksdale, MS
  • NPI 1801989322
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013013648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 MEDICAL DR",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386146733",
            "telephone_number": "662-627-5256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 MEDICAL DR",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386146733",
            "telephone_number": "662-627-5256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "TOM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MS",
            "license": "05774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00115320",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Marie Conley
• Cheryl S Conley, MSW
• Kelly Hemphill Connell, M.S. CCC-SLP
• Cooper - Pang Eye Clinic, P.a.
• Lucy Cooper
• Robert Harding Corley, MS
• Leatrice R Cowan, CRNA
• Crossroads Urology
• Darlene Crumpton, PT
• Cummings Health Care Center

• Ophthalmology Physician in Clarksdale, MS
• Providers in Clarksdale, MS by specialty
• Ophthalmology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.