Active NPI
Marsha D Cooper, MD
- Internal Medicine Physician
- Sandusky, OH
National Provider Identifier
1346222981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35.048099
- Practice address
- 3006 Campbell St
Sandusky, OH 44870-5381 - Phone
- (419) 626-1313
- Fax
- (416) 626-5640
- NPI assigned
- Nov 18, 2005
- Last updated
- Apr 26, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35.048099 | OH | Primary |
Addresses
Primary practice location
3006 Campbell St
Sandusky, OH 44870-5381
Mailing address
235 W National Rd
Vandalia, OH 45377-1969
Phone (937) 898-3600
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 341762427001 | Other | OH | ALL COMMERCIAL CARRIERS |
| 000000138030 | Other | OH | ANTHEM |
| 0528638 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mcooper33061@lickingmemorial.medicity.net | Licking Memorial Health Professionals |
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
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682467200000",
"number": "1346222981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 W NATIONAL RD",
"city": "VANDALIA",
"state": "OH",
"postal_code": "453771969",
"telephone_number": "937-898-3600",
"fax_number": "937-898-2731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3006 CAMPBELL ST",
"city": "SANDUSKY",
"state": "OH",
"postal_code": "448705381",
"telephone_number": "419-626-1313",
"fax_number": "416-626-5640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "MARSHA",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-18",
"last_updated": "2023-04-26",
"certification_date": "2023-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35.048099",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALL COMMERCIAL CARRIERS",
"identifier": "341762427001",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000138030",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0528638",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mcooper33061@lickingmemorial.medicity.net",
"affiliation": "Y",
"affiliationName": "Licking Memorial Health Professionals",
"address_1": "1320 W Main St",
"city": "Newark",
"state": "OH",
"country_code": "US",
"postal_code": "430551822",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sandusky, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.