James B Cooper, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C6393 Issued in AR

Practice address

3 Medical Park Dr
Suite 100
Benton, AR 72015-3728

Phone

(501) 778-0934

Fax

(501) 778-1013

NPI assigned

Feb 22, 2007

Last updated

Apr 8, 2008By 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

Enrolled in AR

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

Practice roles

Interoperability endpoints

• Direct secure messaging: jamescooper-mmfpas@direct.medalliesmail.com

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.

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  • NPI 1255397337
  NPD (past)
• Frederick Health Hospital Inc

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  • General Acute Care Hospital
  • Frederick, MD
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  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1437284189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MEDICAL PARK DR",
            "address_2": "SUITE 100",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153728",
            "telephone_number": "501-778-0934",
            "fax_number": "501-778-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MEDICAL PARK DR",
            "address_2": "SUITE 100",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153728",
            "telephone_number": "501-778-0934",
            "fax_number": "501-778-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "JAMES",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C6393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109509601",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison Cook
• Sharon M Cooley
• Tara Q Coon, RECOVERY ASSISTANT
• Allen Cooper, RECOVERY ASSISTANT
• Glenda Cooper
• Joan Cooper, RECOVERY ASSISTANT
• Nicole B Cooper, LPN
• Preston Cooper, DDS
• Shanie Spring Cooper, DC
• Juana Copta-Vaughan, LPN

• Family Medicine Physician in Benton, AR
• Providers in Benton, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.