Robert Nelson Cooley Jr., D.O.

Primary specialty

Adolescent Medicine (Family Medicine) PhysicianTaxonomy code 207QA0000X

License

30772 Issued in KS

Practice address

1301 N 47TH St
Kansas City, KS 66102-2152

Phone

(913) 328-4609

Fax

(913) 328-4603

NPI assigned

Dec 11, 2006

Last updated

Mar 27, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Woods Chapel Medical Group PC

  • Family Medicine Physician
  • Blue Springs, MO
  • NPI 1558495812
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395878400000",
    "number": "1376603084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5515 W 81ST TER",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662084957",
            "telephone_number": "913-649-0880",
            "fax_number": "913-328-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 N 47TH ST",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661022152",
            "telephone_number": "913-328-4609",
            "fax_number": "913-328-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOLEY",
        "first_name": "ROBERT",
        "middle_name": "NELSON",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2014-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "KS",
            "license": "30772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208767905",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christa Cook, LMSW
• Allan R Cooke, M.D.
• Jermaine Anthony Cooke, MSW
• Jacob Cooley
• Nicole Ann Cooley
• Bradley Michael Coomes, DNAP CRNA
• Bergen Cooper
• Jesse Joel Cooper, DO
• Kaitlyn Cooper
• Kelsie L Cooper, APRN-CNP

• Adolescent Medicine (Family Medicine) Physician in Kansas City, KS
• Providers in Kansas City, KS by specialty
• Adolescent Medicine (Family Medicine) Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.