Active NPI
Ronald Cooper, PA-C
- Physician Assistant
- Julesburg, CO
National Provider Identifier
1316954787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 591
- Practice address
- 116 E 9TH St
Julesburg, CO 80737-1100 - Phone
- (970) 474-3376
- Fax
- (970) 474-2461
- NPI assigned
- Aug 1, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 591 | CO | Primary |
Addresses
Primary practice location
116 E 9TH St
Julesburg, CO 80737-1100
Mailing address
900 Cedar St
Julesburg, CO 80737-1121
Phone (970) 474-3376
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 591 | CO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316954787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 CEDAR ST",
"city": "JULESBURG",
"state": "CO",
"postal_code": "807371121",
"telephone_number": "970-474-3376",
"fax_number": "970-474-2461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 E 9TH ST",
"city": "JULESBURG",
"state": "CO",
"postal_code": "807371100",
"telephone_number": "970-474-3376",
"fax_number": "970-474-2461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "RONALD",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Julesburg, CO
- Centennial Mental Health Center, Inc.
- Centennial Mental Health Center, Inc.
- Cheyenne County Hospital Association (Memorial Health Center Caring Companions Colorado)
- Cheyenne County Hospital Association Inc. (Memorial Health Center Hospice Colorado)
- Cheyenne County Hospital Association, Inc. (Memorial Health Center Home Health Colorado)
- Eastern Colorado Services for the Developmentally Disabled, Inc.
- Eastern Colorado Services for the Developmentally Disabled, Inc.
- Sharon Edler
- Abby Ensminger, LSW
- Craig Patrick Erickson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.