Robert L Cooper Jr., M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

MD00027337 Issued in WA

Practice address

530 S Cowley St
Ste. 100
Spokane, WA 99202-1316

Phone

(509) 838-7028

Fax

(509) 623-2177

NPI assigned

Dec 14, 2005

Last updated

Nov 6, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636156800000",
    "number": "1114902905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 S COWLEY ST",
            "address_2": "STE. 100",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021316",
            "telephone_number": "509-838-7028",
            "fax_number": "509-623-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 S COWLEY ST",
            "address_2": "STE. 100",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021316",
            "telephone_number": "509-838-7028",
            "fax_number": "509-623-2177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 S McClellan St Ste 118",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992042446",
            "country_code": "US",
            "telephone_number": "509-464-7880",
            "fax_number": "509-464-7961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "ROBERT",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2021-11-06",
        "certification_date": "2021-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "WA",
            "license": "MD00027337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073865",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rcooper347620@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "820 S McClellan St Ste 118",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992042446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emily Cooper, MD
• Glen M Cooper
• Grant Cooper, LMHCA
• Nancy Cooper, DNP, CPNP-PC
• Natalie Rose Cooper, M.D.
• Constance Lynn Coopersmith, RPH
• Felicity Coopman
• Jeremy Michael Cope, M.D.
• John Cope, RBT
• Kevin Copelin

• Plastic Surgery Physician in Spokane, WA
• Providers in Spokane, WA by specialty
• Plastic Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2021; 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.