Organization Active NPI

Robert L Cooper MD PC

Doing business as Metrowest Health Center

  • Clinic/Center
  • Medway, MA
National Provider Identifier
1174693998
Registry record updated Jun 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ROBERT L COOPER MD PC
Doing business as
Metrowest Health Center
Practice address
81B Main St
Medway, MA 02053-1812
Phone
(508) 533-4377
NPI assigned
Nov 9, 2006
Last updated
Jun 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2012

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

Authorized official

Name
Robert CooperNPI 1295917573
Title
Medical Director
Phone
(508) 533-4377

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

81B Main St
Medway, MA 02053-1812

Mailing address

81 B Main Street
Medway, MA 02053-1812
Phone (508) 533-4377

Other identifiers 2

IdentifierTypeStateIssuer
M15632OtherMABCBS
9767614MedicaidMA

Other names 1

  • Metrowest Health Center Doing business as

National Provider Directory

National Provider Directory

Locations

81B Main St
Medway, MA 02053
Phone (508) 533-4377

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338768000000",
    "number": "1174693998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 B MAIN STREET",
            "city": "MEDWAY",
            "state": "MA",
            "postal_code": "020531812",
            "telephone_number": "508-533-4377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81B MAIN ST",
            "city": "MEDWAY",
            "state": "MA",
            "postal_code": "020531812",
            "telephone_number": "508-533-4377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L COOPER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2012-06-04",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "508-533-4377"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "M15632",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9767614",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metrowest Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Medway, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2012; 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.