Jonathan S Cooper, D.O.
Individual provider Active NPI Family Medicine Physician · Mason, MI
NPI 1497723522 · NPPES record last updated Jul 2, 2018
Key facts
- NPI
- 1497723522
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 5101013007 (MI)
- Practice address
- 806 Hogsback Rd
Suite C
Mason, MI 48854 - Phone
- (517) 244-9170
- Fax
- (517) 244-9173
- NPI assigned
- Mar 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Michigan State University College of Osteopathic Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Eaton Rapids Medical Center
Practice addresses (Care Compare)
1500 S Main St
Eaton Rapids, MI 48827-1952
Hospital & facility affiliations
- Elara Caring
- Eaton Rapids Medical Center
- Edward W Sparrow Hospital
- McLaren Greater Lansing
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
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100119000199 | MI | Practitioner - Family Practice | 7416099106 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101013007 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eaton Rapids Medical Center | Current |
Accepting new patients | |
| Eaton Rapids Medical Center | Current |
Accepting new patients | |
| Eaton Rapids Medical Center | Current | Accepting new patients | |
| Capital Internal Medicine Associates P.C. | Family Medicine | Current |
Accepting new patients |
| McLaren Greater Lansing | Family Medicine | Past | Accepting new patients |
| Eaton Rapids Medical Center | Family Medicine | Past | Accepting new patients |
Locations
1500 S Main St
#C
Eaton Rapids, MI 48827
1500 S Main St
Eaton Rapids, MI 48827
Phone (517) 663-2671
3955 Patient Care Dr
Ste B
Lansing, MI 48911
Phone (517) 882-6643
3955 Patient Care Dr
Ste A
Lansing, MI 48911
Phone (517) 374-7600
3955 Patient Care Dr
Lansing, MI 48911
Phone (517) 374-7600
806 Hogsback Rd
Ste C
Mason, MI 48854
Phone (517) 244-9170
400 E Main St
#200
Springport, MI 49284
Phone (517) 857-4500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101013007 | MI | Yes |
Addresses
Primary practice location
806 Hogsback Rd
Suite C
Mason, MI 48854
Mailing address
3955 Patient Care Dr
Lansing, MI 48911-4299
Phone (517) 374-7600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4132563 | Medicaid | MI |
Other providers in Mason, MI
- Consumer Services Inc.
- Consumer Services, Inc.
- Consumer Services, Inc.
- Corey Alan Cook
- Andrea Coons
- Nitasha Cooper
- Coston Chiropractic Center PLLC
- Alan Coston Jr.
- Country Creek Afc, Inc.
- Courage to Change Counseling PLLC
All providers in Mason, 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 Jul 2, 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.
- 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.