Active NPI
Joshua M Cooper, MD
- Plastic and Reconstructive Surgery Physician
- Seattle, WA
National Provider Identifier
1528225810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- MD60003034
- Practice address
- 1536 N 115TH St
Suite 105
Seattle, WA 98133-8400 - Phone
- (206) 368-1160
- Fax
- (206) 368-1159
- NPI assigned
- May 22, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | MD60003034 | WA | Primary |
Addresses
Primary practice location
1536 N 115TH St
Suite 105
Seattle, WA 98133-8400
Mailing address
1536 N 115TH St
Suite 105
Seattle, WA 98133-8400
Phone (206) 368-1160
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD60003034 | Other | WA | WA STATE DOH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60003034 | WA | MD | Plastic and Reconstructive Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224028800000",
"number": "1528225810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1536 N 115TH ST",
"address_2": "SUITE 105",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981338400",
"telephone_number": "206-368-1160",
"fax_number": "206-368-1159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1536 N 115TH ST",
"address_2": "SUITE 105",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981338400",
"telephone_number": "206-368-1160",
"fax_number": "206-368-1159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "JOSHUA",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-22",
"last_updated": "2008-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "WA",
"license": "MD60003034",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA STATE DOH",
"identifier": "MD60003034",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.