NPIMap

Organization Active NPI

Dianne M Cooper MD PA

  • Rheumatology Physician
  • Wichita Falls, TX
National Provider Identifier
1356401301
Registry record updated Sep 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
DIANNE M COOPER MD PA
Practice address
5 Eureka Cir
Ste D
Wichita Falls, TX 76308-2900
Phone
(940) 692-1200
Fax
(940) 692-1205
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2010

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

Authorized official

Name
Dianne M Cooper, MDNPI 1649232810
Title
Ownermember
Phone
(940) 692-1200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X Primary

Addresses

Primary practice location

5 Eureka Cir
Ste D
Wichita Falls, TX 76308-2900

Mailing address

5 Eureka Cir
Ste D
Wichita Falls, TX 76308-2900
Phone (940) 692-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070220000542 TX Part B Supplier - Clinic/Group Practice 8426150525 Receives reassigned benefits from 3 practitioners
Practice locations: Wichita Falls, TX

National Provider Directory

National Provider Directory

Locations

5 Eureka Cir
Ste D
Wichita Falls, TX 76308
Phone (940) 692-1200

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284076800000",
    "number": "1356401301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 EUREKA CIR",
            "address_2": "STE D",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763082900",
            "telephone_number": "940-692-1200",
            "fax_number": "940-692-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 EUREKA CIR",
            "address_2": "STE D",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763082900",
            "telephone_number": "940-692-1200",
            "fax_number": "940-692-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANNE M COOPER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2010-09-10",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNERMEMBER",
        "authorized_official_telephone_number": "940-692-1200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.