Active NPI
Edwin B Cooper, Jr MD PA
- Orthopaedic Surgery Physician
- Kinston, NC
National Provider Identifier
1285820068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 3513
- Legal business name
- EDWIN B COOPER, JR MD PA
- Practice address
- 1001 N Queen St
Kinston, NC 28501-3945 - Phone
- (252) 522-5881
- NPI assigned
- Sep 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Edwin B Cooper Jr., MD
- Title
- President
- Phone
- (252) 522-5881
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 3513 | NC | Primary |
Addresses
Primary practice location
1001 N Queen St
Kinston, NC 28501-3945
Mailing address
100 Airport Rd
Kinston, NC 28501-1604
Phone (252) 522-5881
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2335663 | Other | NC | MEDICARE GROUP |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189728000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1189728000000",
"number": "1285820068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 AIRPORT RD",
"city": "KINSTON",
"state": "NC",
"postal_code": "285011604",
"telephone_number": "252-522-5881",
"fax_number": "252-527-2923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 N QUEEN ST",
"city": "KINSTON",
"state": "NC",
"postal_code": "285013945",
"telephone_number": "252-522-5881"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDWIN B COOPER, JR MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-14",
"last_updated": "2007-09-14",
"status": "A",
"authorized_official_last_name": "COOPER",
"authorized_official_first_name": "EDWIN",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "252-522-5881",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "NC",
"license": "3513",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "2335663",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kinston, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.