Active NPI
Paul David Cooper Jr., C.R.N.A.
- Certified Registered Nurse Anesthetist
- Camp Lejeune, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 82576
- Practice address
- 100 Brewster Blvd
Naval Hospital
Camp Lejeune, NC 28547-2538 - Phone
- (910) 450-4159
- Fax
- (910) 450-4194
- NPI assigned
- Jan 10, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 82576 | CA | Primary |
Addresses
Primary practice location
100 Brewster Blvd
Naval Hospital
Camp Lejeune, NC 28547-2538
Mailing address
100 Brewster Blvd
Naval Hospital
Camp Lejeune, NC 28547-2538
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, TN, TX, OR
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
940 E 5TH St
Coquille, OR 97423-1666
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82576 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coquille Valley Hospital District | Current | Accepting new patients | |
| Coquille Valley Hospital District | Current | Accepting new patients | |
| Northeastern Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Texas Ams PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| American Anesthesiology of Tennessee, P.C. | Current | Accepting new patients | |
| Valley Regional Anesthesia Associates Inc | Current | Accepting new patients | |
| MD Cyrus Anesthesia LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
5330 S Highway 95
Fort Mohave, AZ 86426
Phone (928) 788-2273
101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150
2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375
5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
940 E 5th St
Coquille, OR 97423
Phone (541) 396-3101
2333 McCallie Ave
Chattanooga, TN 37404
Phone (423) 493-1387
941 Spring Creek Rd
East Ridge, TN 37412
Phone (423) 855-3255
9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040
1815 N Stanton St
El Paso, TX 79902
Phone (915) 533-8412
3011 W Loop 1604 N
San Antonio, TX 78251
Phone (726) 266-7081
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/5c5c3b5c-6128-40bc-b71b-102ccb82d7e7/
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Knoxville, TN
- NPI 1609822998
-
- Critical Access Hospital
- Coquille, OR
- NPI 1730223967
-
- Anesthesiology Physician
- Sierra Vista, AZ
- NPI 1487956504
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1174926125
Nurse Anesthetist, Certified Registered, TX
-
- Medicare Defined Swing Bed Hospital Unit
- Coquille, OR
- NPI 1164557179
-
- Certified Registered Nurse Anesthetist
- Hanford, CA
- NPI 1033386362
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483920000000",
"number": "1265702187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 BREWSTER BLVD",
"address_2": "NAVAL HOSPITAL",
"city": "CAMP LEJEUNE",
"state": "NC",
"postal_code": "285472538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 BREWSTER BLVD",
"address_2": "NAVAL HOSPITAL",
"city": "CAMP LEJEUNE",
"state": "NC",
"postal_code": "285472538",
"telephone_number": "910-450-4159",
"fax_number": "910-450-4194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "PAUL",
"middle_name": "DAVID",
"name_suffix": "Jr.",
"credential": "C.R.N.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-10",
"last_updated": "2017-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "82576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camp Lejeune, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.