Mark Irwin Cooper II

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC-05039 Issued in OH

Practice address

6 Medical Dr
Chillicothe, OH 45601-8603

Phone

(740) 773-9355

NPI assigned

Jan 9, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7960/brand/2/csg/1/fhir/r4

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.

• Pure Health Management Inc.

  • Chiropractor
  • Chillicothe, OH
  • NPI 1922501691
  Medicare reassignment NPD

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

{
    "created_epoch": "1610150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610150400000",
    "number": "1134717614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MEDICAL DR",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456018603",
            "telephone_number": "740-773-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 MEDICAL DR",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456018603",
            "telephone_number": "740-773-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "MARK",
        "middle_name": "IRWIN",
        "name_suffix": "II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-09",
        "last_updated": "2021-01-09",
        "certification_date": "2021-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC-05039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cody Cooper, DMD
• Elizabeth Rose Champion Cooper, MSW, LSW
• Haley Lynn Cooper
• Heather Cooper, THERAPIST
• Leah Cooper, RN
• Shauna Mae Cooper, RT(R)
• Valerie Kay Cooper, CDCA
• Anndria Linzzi Coplan
• Kyrsten Paige Copley, QMHS
• Michelle Dawn Copley, LISW

• Chiropractor in Chillicothe, OH
• Providers in Chillicothe, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.