Leslie W Cooper MD PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

5614879-1205 Issued in UT

Legal business name

LESLIE W COOPER MD PLLC

Practice address

8931 Sackett Dr
Park City, UT 84098-5836

Phone

(866) 654-7013

NPI assigned

May 17, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Leslie Werder Cooper, M.D.

Title

Owner / Doctor

Phone

(866) 654-7013

Specialties & licenses 1

Addresses

Other names 1

• BodyLogicMD of Salt Lake City Doing business as

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18221/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1368748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368748800000",
    "number": "1447696331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8931 SACKETT DR",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840985836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8931 SACKETT DR",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840985836",
            "telephone_number": "866-654-7013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLIE W COOPER MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-17",
        "last_updated": "2013-05-17",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "WERDER",
        "authorized_official_title_or_position": "OWNER / DOCTOR",
        "authorized_official_telephone_number": "866-654-7013",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "UT",
            "license": "5614879-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BodyLogicMD of Salt Lake City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Morgan Leigh Leaventon
• Sandra Jolene Lehman
• Mairi Gael Leining, MD
• Molly Lent, CSW
• Ronald Herbert Lepley, FNP-C
• Babbie Lester, ND LAC
• Bradford Lester, N.D., LAC.
• Elizabeth Perel Levy
• Andrew Libs
• Jay E. Lieberman, D.M.D.

• Specialist in Park City, UT
• Providers in Park City, UT by specialty
• Specialist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2013; 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.