Active NPI
Andrew D Cooper MD PC
- Sports Medicine (Orthopaedic Surgery) Physician
- Salt Lake City, UT
National Provider Identifier
1073773107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 529371393001 | Medicaid | UT |
Other names 1
- COMPREHENSIVE ORTHOPEDIC SPECIALISTS, LLC
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Orthopaedic Foot and Ankle Surgery Physician
- Salt Lake City, UT
- NPI 1578667226
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.