R. Edward Cooper Jr MD, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

C8114 Issued in AR

Legal business name

R. EDWARD COOPER JR MD, PA

Practice address

1000 E Matthews Ave
Suite D
Jonesboro, AR 72401-4307

Phone

(870) 972-8521

Fax

(870) 972-8042

NPI assigned

Jan 26, 2010

Organization subpart

No

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

Authorized official

Name

Don Smith

Title

Office Manager

Phone

(870) 972-8521

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roy Edward Cooper Jr., MD

  • Orthopaedic Surgery Physician
  • Jonesboro, AR
  • NPI 1922179522
  NPD (past)

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

{
    "created_epoch": "1264464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310515200000",
    "number": "1154652410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E MATTHEWS AVE",
            "address_2": "SUITE D",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014307",
            "telephone_number": "870-972-8521",
            "fax_number": "870-972-8042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E MATTHEWS AVE",
            "address_2": "SUITE D",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014307",
            "telephone_number": "870-972-8521",
            "fax_number": "870-972-8042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. EDWARD COOPER JR MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-26",
        "last_updated": "2011-07-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "870-972-8521"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AR",
            "license": "C8114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129515001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Lee Pyle, M.D.
• Cassidy Shannon Qualls, OTD
• Matthew A. Quick, MD
• Matthew Scott Quillman
• Maricella Quinonez
• R. Edward Cooper Jr., M.D., P.a.
• Michael Raborn, M.D.
• Olivia J Rachel
• Kirsten Marie Raffanelli
• Muhammad Rafique, M.B.B.S.

• Specialist in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Specialist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; 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.