Active NPI
Ruth Ann Cooper, DPM
- Podiatrist
- Cincinnati, OH
National Provider Identifier
1386640860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 36002540C
- Practice address
- 4415B Aicholtz Rd
Ste 200
Cincinnati, OH 45245-5135 - Phone
- (513) 943-0400
- Fax
- (513) 943-6115
- NPI assigned
- Jun 21, 2005
- Last updated
- Mar 19, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 36002540C | OH | Primary |
Addresses
Primary practice location
4415B Aicholtz Rd
Ste 200
Cincinnati, OH 45245-5135
Mailing address
4415-B Aicholtz Rd
Ste 200
Cincinnati, OH 45245-5139
Phone (513) 943-0400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0775791 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36002540C | OH | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bryan Fallis | Podiatrist | Past | Accepting new patients |
Interoperability endpoints
- ruthanncooper@racdpm.allscriptsdirect.net
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395187200000",
"number": "1386640860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4415-B AICHOLTZ RD",
"address_2": "STE 200",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452455139",
"telephone_number": "513-943-0400",
"fax_number": "513-943-6115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4415B AICHOLTZ RD",
"address_2": "STE 200",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452455135",
"telephone_number": "513-943-0400",
"fax_number": "513-943-6115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "RUTH ANN",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-21",
"last_updated": "2014-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "OH",
"license": "36002540C",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0775791",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.