Cope Medical Group LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

COPE MEDICAL GROUP LLC

Practice address

4242 Highway 19 Ste B-3
Zachary, LA 70791-3982

Phone

(225) 772-4677

NPI assigned

Oct 16, 2017

Last updated

Jun 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mario Johnson X, MS, MST, MPH

Title

Ceo/Owner

Phone

(225) 772-4677

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1053822189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4242 HIGHWAY 19 STE B-3",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707913982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4242 HIGHWAY 19 STE B-3",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707913982",
            "telephone_number": "225-772-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPE MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-16",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "225-772-4677",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "X",
        "authorized_official_credential": "MS, MST, MPH"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Zachary, LA
• Providers in Zachary, LA by specialty
• Medical Specialty Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.