Individual provider Active NPI

John Paul Cooper, MD

  • Emergency Medicine Physician
  • Heber Springs, AR
National Provider Identifier
1366973786
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
E-11652 Issued in AR
Practice address
1800 By Pass Rd
Heber Springs, AR 72543-9135
Phone
(501) 206-3102
NPI assigned
Mar 27, 2017
Last updated
Nov 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 87237 GA
General Practice Physician 208D00000X 036.162871 IL
General Practice Physician 208D00000X 71890-20 WI
Emergency Medicine Physician 207P00000X E-11652 AR Primary

Addresses

Primary practice location

1800 By Pass Rd
Heber Springs, AR 72543-9135

Mailing address

2250 N Illinois Ave
Carbondale, IL 62901-5612
Phone (618) 833-1691

Other practice location 1

1740 W Taylor St
Chicago, IL 60612-7232
Phone (870) 275-8150

Other practice location 2

200 E Fairman Ave
Watseka, IL 60970-1644
Phone (815) 432-5841

Other practice location 3

611 S Marshall Ave
Mc Leansboro, IL 62859-1213
Phone (618) 643-2361

Other practice location 4

117 Kite Rd
Swainsboro, GA 30401-3231
Phone (478) 289-1100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address john.cooper.1@15486.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, GA, IL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20181010001248 AR Practitioner - General PracticePractitioner - Emergency MedicinePractitioner - Internal Medicine 2163794207 Reassigns benefits to 6 organizations
I20201121000218 GA Practitioner - General Practice 2163794207 Reassigns benefits to 3 organizations
I20230213000483 IL Practitioner - General Practice 2163794207 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Emergency Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Medcare IncGroup PAC ID 5698667624, 53 clinicians
Statera Health Care LLCGroup PAC ID 0244565729, 41 clinicians

Practice addresses (Care Compare)

1800 By Pass Rd
Heber Springs, AR 72543-9135
Phone (501) 202-2300

200 E Fairman Ave
Watseka, IL 60970-1644
Phone (815) 432-5841

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.162871ILMDGeneral Practice Physician
71890-20WIMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emanuel County Hospital Authority Current Accepting new patients
Southland Emergency Medical Services Consolidated, LLC Family Medicine CurrentSince Nov 11, 2021 Accepting new patients
Statera Health Care, LLC Emergency Medicine CurrentSince Jun 13, 2023 Accepting new patients
Southland Optim Screven Emergency Medical Services LLC Emergency Medicine CurrentSince Jun 23, 2024 Accepting new patients
Southland Cochran Emergency Medical Services, LLC Emergency Medicine CurrentSince Nov 11, 2021 Accepting new patients
Iroquois Memorial Hospital and Resident Home General Practice CurrentSince Sep 1, 2023 Accepting new patients
Fulton County Hospital CurrentSince Oct 25, 2024 Accepting new patients
Arkansas Emergency Staffing Solutions, Inc Emergency Medicine CurrentSince Aug 31, 2018 Accepting new patients
Hospital Care Consultants of Fordyce LLC CurrentSince Aug 31, 2018 Accepting new patients
Iroquois Memorial Hospital and Resident Home CurrentSince Sep 1, 2023 Accepting new patients
Baptist Medcare, Inc Emergency Medicine CurrentSince Oct 19, 2024 Accepting new patients
Integritas Emergency Physician Services, LLC Emergency Medicine CurrentSince Jan 20, 2023 Accepting new patients
Ess of Fordyce LLC Emergency Medicine CurrentSince Aug 31, 2018 Accepting new patients
Fulton County Hospital Emergency Medicine CurrentSince Oct 25, 2024 Accepting new patients
Baxter Health Fulton County Hospital Emergency Medicine CurrentSince Jan 1, 2025 Accepting new patients
Baxter Health Fulton County Hospital Family Medicine CurrentSince Jan 1, 2025 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

3050 Twin Rivers Dr
Arkadelphia, AR 71923
Phone (501) 202-2300

451 W Locke St
Ashdown, AR 71822
Phone (870) 265-5351

1015 Unity Rd
Crossett, AR 71635
Phone (870) 364-0590

201 N Clifton St
Fordyce, AR 71742
Phone (870) 352-6300

1800 By Pass Rd
Heber Springs, AR 72543
Phone (501) 728-4535

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

145 E Peacock St
Cochran, GA 31014
Phone (229) 200-4950

163 S Tallahassee St
Hazlehurst, GA 31539
Phone (912) 375-7781

117 Kite Rd
Swainsboro, GA 30401
Phone (248) 972-8725

215 Mims Rd
Sylvania, GA 30467
Phone (912) 557-1207

2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691

3333 W Deyoung St
Marion, IL 62959
Phone (618) 998-7020

611 S Marshall Ave
Mc Leansboro, IL 62859
Phone (618) 542-2146

200 E Fairman Ave
Watseka, IL 60970
Phone (815) 432-5201

Interoperability endpoints

  • Direct secure messaging: jcooper136402@uihealth.direct-ci.com
  • Direct secure messaging: john.cooper.1@14285.direct.athenahealth.com
  • Direct secure messaging: john.cooper.1@15486.direct.athenahealth.com

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1366973786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 N ILLINOIS AVE",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629015612",
            "telephone_number": "618-833-1691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 BY PASS RD",
            "city": "HEBER SPRINGS",
            "state": "AR",
            "postal_code": "725439135",
            "telephone_number": "501-206-3102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1740 W Taylor St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606127232",
            "country_code": "US",
            "telephone_number": "870-275-8150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 E Fairman Ave",
            "address_purpose": "LOCATION",
            "city": "Watseka",
            "state": "IL",
            "postal_code": "609701644",
            "country_code": "US",
            "telephone_number": "815-432-5841",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "611 S Marshall Ave",
            "address_purpose": "LOCATION",
            "city": "Mc Leansboro",
            "state": "IL",
            "postal_code": "628591213",
            "country_code": "US",
            "telephone_number": "618-643-2361",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "117 Kite Rd",
            "address_purpose": "LOCATION",
            "city": "Swainsboro",
            "state": "GA",
            "postal_code": "304013231",
            "country_code": "US",
            "telephone_number": "478-289-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "JOHN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-27",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "87237",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "036.162871",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WI",
            "license": "71890-20",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E-11652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "john.cooper.1@15486.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "200 E Fairman Ave",
            "city": "Watseka",
            "state": "IL",
            "country_code": "US",
            "postal_code": "609701644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Heber Springs, AR

Sources for this page

Verify at the official NPI Registry.