Active NPI
Colleen A Cooper, MD
- Pediatric Adolescent Medicine Physician
- Allentown, PA
National Provider Identifier
1154316651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- MD028546E
- Practice address
- 1611 Pond Rd
Suite 400
Allentown, PA 18104-2258 - Phone
- (610) 395-4300
- NPI assigned
- Sep 12, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | MD028546E | PA | Primary |
Addresses
Primary practice location
1611 Pond Rd
Suite 400
Allentown, PA 18104-2258
Mailing address
PO Box 1754
Allentown, PA 18105-1754
Phone (610) 798-4500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD028546E | PA | MD | Pediatric Adolescent Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280880000000",
"number": "1154316651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1754",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181051754",
"telephone_number": "610-798-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 POND RD",
"address_2": "SUITE 400",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181042258",
"telephone_number": "610-395-4300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "COLLEEN",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-12",
"last_updated": "2010-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "PA",
"license": "MD028546E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.