Paul L. Cooper, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

38905 Issued in CO

Practice address

205 S Main St Ste B
Longmont, CO 80501-1714

Phone

(303) 772-6244

Fax

(303) 702-1623

NPI assigned

Jul 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

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 1

Specialty

Family Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eastern Plains Medical Clinic of CalhanGroup PAC ID 8729992516, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IGAGBA
• Direct secure messaging: paul.cooper@epmc.eclinicaldirectplus.com

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.

• Eastern Plains Medical Clinic of Calhan

  • Family Medicine Physician
  • Calhan, CO
  • NPI 1508897117
  Medicare reassignment Care Compare group NPD
• VMD Primary Providers Colorado, Inc

  • Primary Care Clinic/Center
  • Fort Collins, CO
  • NPI 1275646614

  Family Medicine

  Medicare reassignment NPD
• Eastern Plains Medical Clinic of Calhan

  • Family Medicine Physician
  • Calhan, CO
  • NPI 1952366593
  NPD

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1285654608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S MAIN ST STE B",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805011714",
            "telephone_number": "303-772-6244",
            "fax_number": "303-702-1623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S MAIN ST STE B",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805011714",
            "telephone_number": "303-772-6244",
            "fax_number": "303-702-1623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "PAUL",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "38905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50052012",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Cook
• Julie Cooley
• Tiffany Cooley, BCBA
• Michaela Cooney-Polstra, LCSW
• William P Cooney, MD
• Myles Nathaniel Cope, M.D.
• Megan Theresa Corcoran, LPCC
• Lyndsey Renee Cordova, LAC
• Christine E Cork, PA-C CAQ PSYCH
• Eve Cornell, MD, DDS

• Family Medicine Physician in Longmont, CO
• Providers in Longmont, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.
• 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.

Verify at the official NPI Registry.