Jason Scott Cooper, MD

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

ME104001 Issued in FL

Practice address

3535 Military TRL
#204
Jupiter, FL 33458-5009

Phone

(561) 406-6574

Fax

(561) 203-2769

NPI assigned

Mar 29, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Interoperability endpoints

• Direct secure messaging: jcooper19576@jupitermedicalcenter.direct-ci.com

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413936000000",
    "number": "1366561300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 MILITARY TRL",
            "address_2": "#204",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585009",
            "telephone_number": "561-406-6574",
            "fax_number": "561-203-2769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 MILITARY TRL",
            "address_2": "#204",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585009",
            "telephone_number": "561-406-6574",
            "fax_number": "561-203-2769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "JASON",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2014-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME104001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Conviva Medical Center Management LLC
• Jihan Cook
• Keri Cook
• Abbie L Cooksey, DPT
• Kellie Rae Coombs, OTR/L
• Joycelyn Cooper
• Robert Nathan Cooper, M.D.
• Nicole Elizabeth Coppage, MSW, RCSWI
• Amanda Lynne Cording, ARNP
• Jeffrey Cording, RRT

• Plastic and Reconstructive Surgery Physician in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Plastic and Reconstructive Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.