Robert Cooper, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

56842 Issued in MN

Practice address

320 East Main Street
Crosby, MN 56441

Phone

(218) 546-7000

Fax

(218) 546-4400

NPI assigned

May 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11907/brand/1/csg/1/fhir/r4

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.

• Robert Cooper MD

  • Family Medicine Physician
  • Milwaukee, WI
  • NPI 1174544035
  NPD (past) Authorized official
• Aascend Pain Institute, SC

  • Interventional Pain Medicine Physician
  • Appleton, WI
  • NPI 1750436515
  NPD (past)
• Jawad H Khan MD SC

  • Pulmonary Disease Physician
  • Ashburn, VA
  • NPI 1457360042
  NPD (past)
• Lessila Physical Therapy, LLC

  • Physical Therapist
  • Brookfield, WI
  • NPI 1811029838
  NPD (past)
• Summit Rehabilitation SC

  • Physical Medicine & Rehabilitation Physician
  • Milwaukee, WI
  • NPI 1962423822
  NPD (past)
• Wisconsin Visiting Podiatry

  • Foot & Ankle Surgery Podiatrist
  • Waterford, WI
  • NPI 1790158368
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399852800000",
    "number": "1356396394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 EAST MAIN STREET",
            "city": "CROSBY",
            "state": "MN",
            "postal_code": "56441",
            "telephone_number": "218-546-7000",
            "fax_number": "218-546-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 EAST MAIN STREET",
            "city": "CROSBY",
            "state": "MN",
            "postal_code": "56441",
            "telephone_number": "218-546-7000",
            "fax_number": "218-546-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2014-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "30280",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MT",
            "license": "12045",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "56842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ci Pharmacy Services, LTD
• Ci Pharmacy Services, LTD
• Donna Claypool, N.P.
• Gail Lisa Clifford, MD
• Nicholas Alexander Cooley, MD
• Gayle Rogers Cousins, MS FAAA
• Crosby Cardiovascular Services, LLC
• Crosby Family Dentistry PLLC
• Crosby Senior Services
• Crosby Senior Services Care Center

• All providers in Crosby, MN
• Internal Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.