NPIMap

Organization Active NPI

Cooper Surgical Associates

  • Orthopaedic Surgery Physician
  • Newtown Square, PA
National Provider Identifier
1568581981
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
COOPER SURGICAL ASSOCIATES
Practice address
3740 W Chester Pike
Newtown Square, PA 19073-3223
Phone
(610) 356-9410
NPI assigned
Mar 28, 2007
Organization subpart
Yes
Parent organization
COOPER SURGICAL ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Authorized official

Name
Robert McMullen
Title
Evp Managed Care Admin
Phone
(856) 342-7369

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

3740 W Chester Pike
Newtown Square, PA 19073-3223

Mailing address

3 Cooper PLZ
Suite 502
Camden, NJ 08103-1438
Phone (856) 968-7433

Other identifiers 2

IdentifierTypeStateIssuer
1426007OtherPAPA BS
2111761000OtherPAAMERIHEALTH/KEYSTONE IBC

National Provider Directory

National Provider Directory
Tax ID family
Cooper Surgical31 organizations share this tax ID, including this one
Part of
Cooper Surgical

Other organizations with this tax ID 30

Organizations that report the same tax identification number in the National Provider Directory.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1568581981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 COOPER PLZ",
            "address_2": "SUITE 502",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031438",
            "telephone_number": "856-968-7433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 W CHESTER PIKE",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190733223",
            "telephone_number": "610-356-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPER SURGICAL ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COOPER SURGICAL ASSOCIATES",
        "enumeration_date": "2007-03-28",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "MCMULLEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "EVP MANAGED CARE ADMIN",
        "authorized_official_telephone_number": "856-342-7369"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BS",
            "identifier": "1426007",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH/KEYSTONE IBC",
            "identifier": "2111761000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown Square, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.

Verify at the official NPI Registry.