Organization Active NPI

Robert G Cooper Jr MD PC

  • Surgery Physician
  • Seymour, IN
National Provider Identifier
1073782660
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
01060634A Issued in IN
Legal business name
ROBERT G COOPER JR MD PC
Practice address
505 S Poplar St
Seymour, IN 47274-2960
Phone
(812) 524-0505
NPI assigned
Feb 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Authorized official

Name
Robert Graham Cooper, MD
Title
Physician
Phone
(812) 524-0505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 01060634A IN Primary

Addresses

Primary practice location

505 S Poplar St
Seymour, IN 47274-2960

Mailing address

505 S Poplar St
Seymour, IN 47274-2960
Phone (812) 524-0505

Other identifiers 1

IdentifierTypeStateIssuer
200525780MedicaidIN

National Provider Directory

National Provider Directory

Locations

505 S Poplar St
Seymour, IN 47274
Phone (812) 524-0505

NPI Registry JSON

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579651200000",
    "number": "1073782660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 S POPLAR ST",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742960",
            "telephone_number": "812-524-0505",
            "fax_number": "812-524-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S POPLAR ST",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742960",
            "telephone_number": "812-524-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT G COOPER JR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "GRAHAM",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "812-524-0505",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "IN",
            "license": "01060634A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200525780",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seymour, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.