John P Cooney, DO
Individual provider Active NPI Family Medicine Physician · Hart, MI
NPI 1477553816 · NPPES record last updated Jun 6, 2018
Key facts
- NPI
- 1477553816
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 5101012851 (MI)
- Practice address
- 2481 N 72ND Ave
Hart, MI 49420 - Phone
- (231) 873-2163
- Fax
- (231) 873-2143
- NPI assigned
- Jul 28, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 8
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Midwestern University, Chicago College of Osteopathic Med, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Health Partners
Practice addresses (Care Compare)
5656 W US Hwy 10
Ludington, MI 49431-2454
Phone (231) 316-1014
Hospital & facility affiliations
- Elara Caring
- Corewell Health Visiting Nurse Association
- Northern Home Care, Inc
- Harbor Hospice
- Mercy Health Lakeshore Campus
- Corewell Health Ludington Hospital
- Trinity Health Muskegon Hospital
- Oakview Medical Care Facility
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Trinity Health Medical Group, Primary Care - Ludington |
Rural health clinic | Contracted Managing Employee Operational/Managerial Control |
Jan 1, 2019 Dec 31, 2017 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110310000029 | MI | Practitioner - Family Practice | 1850573098 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101012851 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Partners | Current |
Accepting new patients | |
| Mercy Health Partners | Current |
Accepting new patients | |
| Oakview Medical Care Facility | Past | Accepting new patients | |
| Mercy Health Partners | Past | Accepting new patients |
Locations
71 Bevier St
Shelby, MI 49455
Phone (231) 861-2172
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101012851 | MI | Yes |
Addresses
Primary practice location
2481 N 72ND Ave
Hart, MI 49420
Mailing address
PO Box 1848
Muskegon, MI 49443-1848
Phone (231) 727-5211
Other practice location 1
5656 W US Highway 10
Ludington, MI 49431-2454
Phone (231) 843-2543
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CJ0662 | Other | MI | MEDICARE RAILROAD |
Other providers in Hart, MI
- Kayla Wren Burns
- Cherry Blossom Manor, Inc.
- Choices West Counseling Services, Inc
- Samantha Cole
- William S. Cooke
- Briana L Cruz
- David Culver RPH Inc
- Rebecca Davis
- Christina Delgado
- Laura Lynne Deruiter
All providers in Hart, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.