Active NPI
George N. Cooper, Jr. MD, LTD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Cumberland, RI
National Provider Identifier
1477749059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Legal business name
- GEORGE N. COOPER, JR. MD, LTD
- Practice address
- 1725 Mendon Rd
Suite 207
Cumberland, RI 02864-4337 - Phone
- (401) 334-2423
- NPI assigned
- Sep 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Geroge Cooper, MD
- Title
- President
- Phone
- (401) 739-0011
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | RI | Primary |
Addresses
Primary practice location
1725 Mendon Rd
Suite 207
Cumberland, RI 02864-4337
Mailing address
1725 Mendon Rd
Suite 207
Cumberland, RI 02864-4337
Phone (401) 334-2423
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9001165 | Medicaid | RI |
National Provider Directory
National Provider DirectoryLocations
840 Greenwich Ave
Warwick, RI 02886
Phone (401) 334-2423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190073600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193788800000",
"number": "1477749059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1725 MENDON RD",
"address_2": "SUITE 207",
"city": "CUMBERLAND",
"state": "RI",
"postal_code": "028644337",
"telephone_number": "401-334-2423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 MENDON RD",
"address_2": "SUITE 207",
"city": "CUMBERLAND",
"state": "RI",
"postal_code": "028644337",
"telephone_number": "401-334-2423"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEORGE N. COOPER, JR. MD, LTD",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-18",
"last_updated": "2007-10-31",
"status": "A",
"authorized_official_last_name": "COOPER",
"authorized_official_first_name": "GEROGE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "401-739-0011",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "RI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9001165",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cumberland, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.