Carolyn S Cooper, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A64800 Issued in CA

Practice address

2100 Webster St
Suite 302
San Francisco, CA 94115-2373

Phone

(415) 923-3431

NPI assigned

Jan 20, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Carolyn S Cooper Professional name

Medicare fee-for-service enrollment

Enrolled in CA

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 Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: carolyn.cooper@430214217732.direct.elationemr.com

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.

• Felix Millhouse, MD a Professional Corporation

  • Specialist
  • Daly City, CA
  • NPI 1316135965
  NPD (past)
• SCS MD PC

  dba Glaucoma Heights

  • Ophthalmology Physician
  • San Francisco, CA
  • NPI 1588464614
  NPD (past)

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

{
    "created_epoch": "1169251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1518010560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 WEBSTER ST STE 302",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152376",
            "telephone_number": "415-923-3431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 WEBSTER ST",
            "address_2": "SUITE 302",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152373",
            "telephone_number": "415-923-3431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "CAROLYN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A64800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "COOPER",
            "middle_name": "S",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kelly Cooper-Bistricky, MS CCC SLP
• Michelle Fernandes Cooper-Sood, MSW/ASW
• Amy Beth Cooper, OTR/L
• Barbara Cooper, MSN, FNP-BC
• Carolyn B Cooper, M.S., L.M.F.T.
• Charles Alan Cooper, M.D.
• Cicily Raye Cooper, FNP
• Claudia Cooper
• Deborah Carol Cooper, MFT
• Jacqueline Kae Cooper, LMFT PH.D

• Specialist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.