Individual provider Active NPI

Alan S. Cooperman, D.O.

  • Diagnostic Radiology Physician
  • Fort Wayne, IN
National Provider Identifier
1033226154
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
02000572A Issued in IN
Practice address
14110 Spring Hollow Rd
Fort Wayne, IN 46814-9767
Phone
(260) 672-3121
NPI assigned
Aug 24, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
3070AZMDDiagnostic Radiology Physician
43169COMDDiagnostic Radiology Physician
02000572AINMDDiagnostic Radiology Physician
32745MOMDDiagnostic Radiology Physician
A-1313-05NMMDDiagnostic Radiology Physician
34002606OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew 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

  • FHIR API: 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.

View all 13

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.

Verify at the official NPI Registry.