Individual provider Active NPI

Elizabeth Cooperstein, M.D.

  • Family Medicine Physician
  • Norton, VA
National Provider Identifier
1265403968
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101225500 Issued in VA
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, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1265403968MedicaidVA
005608872MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040407001083 VA Practitioner - Family PracticePractitioner - Emergency Medicine 6709879414 Reassigns benefits to 2 organizations
I20051107000050 TN Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Emergency Medicine 6709879414 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
30462TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
App of Tennessee Ed, PLLC CurrentSince Oct 7, 2018 Accepting new patients
Tri-Cities Regional Emergency Physicians, PC CurrentSince Mar 18, 2017 Accepting new patients
Southeastern Emergency Physicians LLC CurrentSince Oct 1, 2011 Accepting new patients
Western Virginia Regional Emergency Physicians, LLC CurrentSince Apr 5, 2017 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.