Organization Active NPI

George N. Cooper, Jr. MD, LTD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Cumberland, RI
National Provider Identifier
1477749059
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
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

Updated by the provider on Oct 31, 2007

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)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
9001165MedicaidRI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.