James C. Cooper

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

JAMES C. COOPER

Practice address

815 Hogan LN
Suite 7
Conway, AR 72034-7958

Phone

(501) 764-0976

Fax

(501) 764-0990

NPI assigned

Jul 8, 2006

Organization subpart

No

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

Authorized official

Name

Mr. James Carroll Cooper

Title

Owner

Phone

(501) 764-0976

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LifeCare Medical Supply Doing business as

Locations

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1588697262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11770",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720340031",
            "telephone_number": "501-764-0976",
            "fax_number": "501-764-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 HOGAN LN",
            "address_2": "SUITE 7",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720347958",
            "telephone_number": "501-764-0976",
            "fax_number": "501-764-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES C. COOPER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "CARROLL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-764-0976",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4927431",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeCare Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Jackson, CMP
• Nakia Jackson, CARE COORDINATOR
• Kimberly Emile Jacob, L.M., C.P.M.
• Mercedes Jacobs, QBHP
• Mikka Jaggers, OT
• Amber Louise James
• Judi James, MS,CCC-SLP
• Rachel James, MS, SLP
• Steven A James, MD
• Suhyun Jang

• All providers in Conway, AR
• Durable Medical Equipment & Medical Supplies in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.