NPIMap

Organization Active NPI

R. Edward Cooper Jr., M.D., P.a.

  • Orthopaedic Surgery Physician
  • Jonesboro, AR
National Provider Identifier
1013209956
Registry record updated May 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
C8114 Issued in AR
Legal business name
R. EDWARD COOPER JR., M.D., P.A.
Practice address
1000 E Matthews Ave
Suite D
Jonesboro, AR 72401-4307
Phone
(870) 972-8521
Fax
(870) 972-8042
NPI assigned
May 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2011

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

Authorized official

Name
Dr. Roy Edward Cooper Jr., M.D.
Title
Owner
Phone
(870) 972-8521

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X C8114 AR Primary
Physician AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363A00000X PA- 439 AR

Addresses

Primary practice location

1000 E Matthews Ave
Suite D
Jonesboro, AR 72401-4307

Mailing address

1000 E Matthews Ave
Suite D
Jonesboro, AR 72401-4307
Phone (870) 972-8521

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1305072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305072000000",
    "number": "1013209956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E MATTHEWS AVE",
            "address_2": "SUITE D",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014307",
            "telephone_number": "870-972-8521",
            "fax_number": "870-972-8042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E MATTHEWS AVE",
            "address_2": "SUITE D",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014307",
            "telephone_number": "870-972-8521",
            "fax_number": "870-972-8042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. EDWARD COOPER JR., M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-11",
        "last_updated": "2011-05-11",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-972-8521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "AR",
            "license": "C8114",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "PA- 439",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.