Active NPI
Walter Thomas Cooper III, M.D.
- Family Medicine Physician
- Pasco, WA
National Provider Identifier
1528137759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00020136
- Practice address
- 1200 N 14TH Ave
Suite 245
Pasco, WA 99301-4182 - Phone
- (509) 547-9521
- Fax
- (509) 547-5983
- NPI assigned
- Nov 6, 2006
- Last updated
- Jan 8, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00020136 | WA | Primary |
Addresses
Primary practice location
1200 N 14TH Ave
Suite 245
Pasco, WA 99301-4182
Mailing address
1200 N 14TH Ave
Suite 245
Pasco, WA 99301-4182
Phone (509) 547-9521
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Onsite, Inc | Past | Accepting new patients | |
| W Thomas Cooper, MD PS | Past | Accepting new patients | |
| Mid-Columbia Medical Associates | Past | Accepting new patients |
Organizations & group practices 4
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199750400000",
"number": "1528137759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 N 14TH AVE",
"address_2": "SUITE 245",
"city": "PASCO",
"state": "WA",
"postal_code": "993014182",
"telephone_number": "509-547-9521",
"fax_number": "509-547-5983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N 14TH AVE",
"address_2": "SUITE 245",
"city": "PASCO",
"state": "WA",
"postal_code": "993014182",
"telephone_number": "509-547-9521",
"fax_number": "509-547-5983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "WALTER",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2008-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00020136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasco, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; 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.