W Thomas Cooper, MD PS

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

MD00020136 Issued in WA

Legal business name

W THOMAS COOPER, MD PS

Practice address

1200 N 14TH Ave
Suite 245
Pasco, WA 99301-4182

Phone

(509) 547-9521

Fax

(509) 547-5983

NPI assigned

Dec 19, 2007

Last updated

Jan 8, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. W Thomas Cooper, MD

Title

President

Phone

(509) 547-9521

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, and the practitioner matching its NPPES authorized official.

• Walter Thomas Cooper III, M.D.

  • Family Medicine Physician
  • Pasco, WA
  • NPI 1528137759
  NPD (past)

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1255515862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N 14TH AVE",
            "address_2": "SUITE 245",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993014182",
            "telephone_number": "509-547-9521",
            "fax_number": "509-547-5983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N 14TH AVE",
            "address_2": "SUITE 245",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993014182",
            "telephone_number": "509-547-9521",
            "fax_number": "509-547-5983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W THOMAS COOPER, MD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2008-01-08",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "W THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-547-9521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "WA",
            "license": "MD00020136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1377100",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Virginia Rickertsen (Unity Counseling Services)
• Vision Forward Counseling
• Maja Vlaco, RN
• Grace Vondra, FNP
• Johnny Vongvilay
• Heather Wadsworth, SLP
• Wal-Mart Stores, Inc (Vision Center 30-3380)
• Walgreen Co (Walgreens #01078)
• Walgreen Co (Walgreens #09765)
• David Campbell Walker, DMD

• General Practice Physician in Pasco, WA
• Providers in Pasco, WA by specialty
• General Practice Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; 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.