Active NPI
Elizabeth Cooperstein, M.D.
- Family Medicine Physician
- Norton, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101225500
- Practice address
- 100 15TH St NW
Suite a
Norton, VA 24273-1616 - Phone
- (276) 439-1840
- Fax
- (273) 439-1845
- NPI assigned
- Jan 30, 2006
- Last updated
- Jan 30, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101225500 | VA | Primary |
| Family Medicine Physician | 207Q00000X | 30462 | TN |
Addresses
Primary practice location
100 15TH St NW
Suite a
Norton, VA 24273-1616
Mailing address
100 15TH St NW
Suite a
Norton, VA 24273-1616
Phone (276) 439-1840
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265403968 | Medicaid | VA | |
| 005608872 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30462 | TN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| App of Tennessee Ed, PLLC | Current | Accepting new patients | |
| Tri-Cities Regional Emergency Physicians, PC | Current | Accepting new patients | |
| Southeastern Emergency Physicians LLC | Current | Accepting new patients | |
| Western Virginia Regional Emergency Physicians, LLC | Current | Accepting new patients | |
| Emergency Coverage Services, PC | Past | Accepting new patients | |
| United Emergency Services, Inc. | Past | Accepting new patients | |
| Emergency Coverage, LLC | Family Medicine | Past | Accepting new patients |
| Wellmont Physician Services Inc | Family Medicine | Past | Accepting new patients |
| Dan River Emergency Services LLC | Past | Accepting new patients |
Locations
1501 W Elk Ave
Elizabethton, TN 37643
Phone (423) 542-1300
401 Takoma Ave
Greeneville, TN 37743
Phone (423) 639-3151
400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310
2000 Brookside Dr
Kingsport, TN 37660
Phone (423) 857-7144
9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000
1990 Holton Ave E
Big Stone Gap, VA 24219
Phone (276) 523-3111
100 15th St NW
Norton, VA 24273
Phone (276) 439-1000
100 15th St NW
Ste A
Norton, VA 24273
Phone (276) 439-1840
127 Health Care Dr
#3
Pennington Gap, VA 24277
Phone (276) 546-1148
Interoperability endpoints
- elizabeth.cooperstein.p1@direct.mep.nextgenshare.com
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Norton, VA
- NPI 1386183028
-
- Emergency Medicine Physician
- Johnson City, TN
- NPI 1063950046
-
- Emergency Medicine Physician
- Danville, VA
- NPI 1760740435
-
- Internal Medicine Physician
- Big Stone Gap, VA
- NPI 1619095403
Family Medicine
-
- Nurse Practitioner
- Lawrenceburg, TN
- NPI 1053351593
-
dba Emergency Coverage Corporation of TeamHealth
- Family Medicine Physician
- Newport, TN
- NPI 1427005008
-
- Emergency Medicine Physician
- Booneville, MS
- NPI 1326007915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485734400000",
"number": "1265403968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 15TH ST NW",
"address_2": "SUITE A",
"city": "NORTON",
"state": "VA",
"postal_code": "242731616",
"telephone_number": "276-439-1840",
"fax_number": "273-439-1845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 15TH ST NW",
"address_2": "SUITE A",
"city": "NORTON",
"state": "VA",
"postal_code": "242731616",
"telephone_number": "276-439-1840",
"fax_number": "273-439-1845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPERSTEIN",
"first_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-30",
"last_updated": "2017-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101225500",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "30462",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1265403968",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005608872",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.