NPIMap

Organization Active NPI

Cooley Neurosurgical Clinic Inc

  • Neurological Surgery Physician
  • Lima, OH
National Provider Identifier
1518175215
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
35049465 Issued in OH
Legal business name
COOLEY NEUROSURGICAL CLINIC INC
Practice address
830 W High St
Suite 204
Lima, OH 45801-3971
Phone
(419) 229-8928
Fax
(419) 229-5291
NPI assigned
May 18, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David A Cooley, M.D.NPI 1528134582
Title
President
Phone
(419) 229-8928

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 35049465 OH Primary

Addresses

Primary practice location

830 W High St
Suite 204
Lima, OH 45801-3971

Mailing address

PO Box 1216
Lima, OH 45802-1216
Phone (419) 229-8928

Other identifiers 2

IdentifierTypeStateIssuer
0859441MedicaidOH
000000167548OtherOHANTHEM

National Provider Directory

National Provider Directory

Locations

1924 Allentown Rd
Lima, OH 45805
Phone (419) 229-8928

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518175215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1216",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458021216",
            "telephone_number": "419-229-8928",
            "fax_number": "419-229-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 W HIGH ST",
            "address_2": "SUITE 204",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458013971",
            "telephone_number": "419-229-8928",
            "fax_number": "419-229-5291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOLEY NEUROSURGICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COOLEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-229-8928",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OH",
            "license": "35049465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0859441",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000167548",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.