Organization Active NPI

Andrew D Cooper MD PC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Salt Lake City, UT
National Provider Identifier
1073773107
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
Legal business name
ANDREW D COOPER MD PC
Practice address
82 S 1100 E
Suite 303
Salt Lake City, UT 84102-1686
Phone
(801) 533-2002
Fax
(801) 323-9546
NPI assigned
Jun 12, 2008
Last updated
Jun 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Mr. Merilyn Harris
Title
Office Manager
Phone
(801) 533-2002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X NU Primary

Addresses

Primary practice location

82 S 1100 E
Suite 303
Salt Lake City, UT 84102-1686

Mailing address

82 S 1100 E
Suite 303
Salt Lake City, UT 84102-1686
Phone (801) 533-2002

Other identifiers 1

IdentifierTypeStateIssuer
529371393001MedicaidUT

Other names 1

  • COMPREHENSIVE ORTHOPEDIC SPECIALISTS, LLC Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1073773107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 S 1100 E",
            "address_2": "SUITE 303",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021686",
            "telephone_number": "801-533-2002",
            "fax_number": "801-323-9546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 S 1100 E",
            "address_2": "SUITE 303",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021686",
            "telephone_number": "801-533-2002",
            "fax_number": "801-323-9546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW D COOPER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "MERILYN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "801-533-2002",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529371393001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMPREHENSIVE ORTHOPEDIC SPECIALISTS, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.