Active NPI
Alan S. Cooperman, D.O.
- Diagnostic Radiology Physician
- Fort Wayne, IN
National Provider Identifier
1033226154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 02000572A
- Practice address
- 14110 Spring Hollow Rd
Fort Wayne, IN 46814-9767 - Phone
- (260) 672-3121
- NPI assigned
- Aug 24, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 02000572A | IN | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 34002606 | OH | |
| Diagnostic Radiology Physician | 2085R0202X | 32745 | MO | |
| Diagnostic Radiology Physician | 2085R0202X | 43169 | CO | |
| Diagnostic Radiology Physician | 2085R0202X | 3070 | AZ | |
| Diagnostic Radiology Physician | 2085R0202X | A-1313-05 | NM |
Addresses
Primary practice location
14110 Spring Hollow Rd
Fort Wayne, IN 46814-9767
Mailing address
14110 Spring Hollow Rd
Fort Wayne, IN 46814-9767
Phone (260) 672-3121
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3070 | AZ | MD | Diagnostic Radiology Physician |
| 43169 | CO | MD | Diagnostic Radiology Physician |
| 02000572A | IN | MD | Diagnostic Radiology Physician |
| 32745 | MO | MD | Diagnostic Radiology Physician |
| A-1313-05 | NM | MD | Diagnostic Radiology Physician |
| 34002606 | OH | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hannibal Regional Healthcare System Inc | Past | Accepting new patients | |
| Fountain City Medical Clinic Inc | Past | Accepting new patients | |
| Mercy Clinic Joplin LLC | Past | Accepting new patients | |
| Imaging Consultants of Findlay, Inc | Diagnostic Radiology | Past | Accepting new patients |
| Northeast Missouri Imaging Associates, Inc. | Diagnostic Radiology | Past | Accepting new patients |
| Sjmgroup | Past | Accepting new patients | |
| Radadvantage a Professional Corporation | Diagnostic Radiology | Past | Accepting new patients |
| Metroamerican Radiology Consultants P a | Diagnostic Radiology | Past | Accepting new patients |
| Nufinity, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Lima Radiological Associates | Diagnostic Radiology | Past | Accepting new patients |
| Diagnostic Imaging of in PC | Diagnostic Radiology | Past | Accepting new patients |
| Pro Rad, Inc | Diagnostic Radiology | Past | Accepting new patients |
| Payson Hospital Corporation | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602
Organizations & group practices 13
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Lafayette, IN
- NPI 1477506319
Diagnostic Radiology
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- General Practice Physician
- Bryan, OH
- NPI 1083886915
-
- Multi-Specialty Clinic/Center
- Hannibal, MO
- NPI 1003956095
-
- Diagnostic Radiology Physician
- Findlay, OH
- NPI 1306069307
-
- Diagnostic Radiology Physician
- Lima, OH
- NPI 1497715361
-
- Family Medicine Physician
- Joplin, MO
- NPI 1215264817
-
- Diagnostic Radiology Physician
- Knoxville, TN
- NPI 1386678092
-
- Diagnostic Radiology Physician
- Hannibal, MO
- NPI 1356309306
-
dba Payson Regional Medical Center
- Anesthesiology Physician
- Payson, AZ
- NPI 1972792588
-
- Diagnostic Radiology Physician
- Bryan, OH
- NPI 1962470484
-
- Diagnostic Radiology Physician
- Phoenix, AZ
- NPI 1376719666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033226154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14110 SPRING HOLLOW RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468149767",
"telephone_number": "260-672-3121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14110 SPRING HOLLOW RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468149767",
"telephone_number": "260-672-3121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPERMAN",
"first_name": "ALAN",
"middle_name": "S.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IN",
"license": "02000572A",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OH",
"license": "34002606",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "32745",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CO",
"license": "43169",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AZ",
"license": "3070",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NM",
"license": "A-1313-05",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.