Christopher R Cooper, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO-05117 Issued in IA

Practice address

901 Montgomery St
Decorah, IA 52101

Phone

(563) 382-2911

Fax

(563) 382-4143

NPI assigned

May 18, 2012

Last updated

Jul 18, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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 Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ccooper135538@uihcdirect.org

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.

• Winneshiek Medical Center

  dba WinnMed

  • Critical Access Hospital
  • Decorah, IA
  • NPI 1619922051
  Medicare reassignment NPD
• Winneshiek Medical Center

  dba WinnMed Decorah Clinic

  • Multi-Specialty Clinic/Center
  • Decorah, IA
  • NPI 1992854863
  Medicare reassignment NPD
• Winneshiek Medical Center

  dba WinnMed Pharmacy

  • Community/Retail Pharmacy
  • Decorah, IA
  • NPI 1104507060
  NPD

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

{
    "created_epoch": "1337299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1497015903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CAISSON HILL RD",
            "city": "FT RILEY",
            "state": "KS",
            "postal_code": "664427037",
            "telephone_number": "785-239-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 MONTGOMERY ST",
            "city": "DECORAH",
            "state": "IA",
            "postal_code": "52101",
            "telephone_number": "563-382-2911",
            "fax_number": "563-382-4143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Caisson Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Ft Riley",
            "state": "KS",
            "postal_code": "664427037",
            "country_code": "US",
            "telephone_number": "785-239-7777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "CHRISTOPHER",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-18",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NE",
            "license": "1129",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KS",
            "license": "05-38247",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "DO-05117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandy Kay Clayton, M.D.
• Colleen Clement, PHARMD
• Paul C Coffeen, PA
• Compassionate Curiosity Counseling
• Emily Connor, M.D.
• Anthony M Coppola, DO
• Maria Belen Cordova
• Counseling Associates of NE Iowa
• County of Winneshiek (Winneshiek County Public Health Nursing Service)
• County of Winneshiek (Winneshiek County Public Health)

• Family Medicine Physician in Decorah, IA
• Providers in Decorah, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; 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.