Lisette Triana Cooper, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD039876E Issued in PA

Practice address

1400 Black Horse Hill Road
VA Medical Center Building 2
Coatesville, PA 19320-2096

Phone

(610) 383-0289

Fax

(610) 543-1738

NPI assigned

Dec 6, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Temple Physician Inc.

  • Internal Medicine Physician
  • Feasterville Trevose, PA
  • NPI 1174497366
  NPD (past)

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490832000000",
    "number": "1104800770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 WEST SPROUL ROAD, SUITE 105",
            "address_2": "COATESVILLE VAMC: SPRINGFIELD CBOC",
            "city": "SPRINGFILED",
            "state": "PA",
            "postal_code": "19064",
            "telephone_number": "610-383-0289",
            "fax_number": "610-543-1738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 BLACK HORSE HILL ROAD",
            "address_2": "VA MEDICAL CENTER BUILDING 2",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193202096",
            "telephone_number": "610-383-0289",
            "fax_number": "610-543-1738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "LISETTE",
        "middle_name": "TRIANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-06",
        "last_updated": "2017-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD039876E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011842990008",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Coatesville Vamc
• Ivo A Colon, LCSW,CAADC
• Mark P. Combs, PH.D.
• Compassionate Companion Homecare Agency LLC
• Peter Martin Conforti, RPH
• Nathan A Cooper, ATC
• Beth Arlene Coopey, LSW
• Margaret Cortlessa, LPN
• Sirpa Hannele Cossaboon, PHD, LPC, LPCMH
• Cynthia Coston Patterson

• Internal Medicine Physician in Coatesville, PA
• Providers in Coatesville, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.