Amanda S. Cooper, MD

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

35.090294 Issued in OH

Practice address

8100 Ravines Edge CT Ste 100
Columbus, OH 43235-5426

Phone

(614) 488-5090

Fax

(614) 845-5216

NPI assigned

Nov 15, 2006

Last updated

Mar 30, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Amanda S North Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Diagnostic Radiology

Education

Northeastern Ohio University College of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Polaris Vein Center, LLC

  dba Akribis Veins & Vitality

  • Vascular & Interventional Radiology Physician
  • Worthington, OH
  • NPI 1861014383
  Medicare reassignment NPD Authorized official
• Central Ohio Primary Care Physicians, Inc.

  • Clinical Medical Laboratory
  • Westerville, OH
  • NPI 1639279045
  NPD (past)
• Riverside Radiology and Interventional Associates Inc

  • Diagnostic Radiology Physician
  • Columbus, OH
  • NPI 1093718496
  NPD (past)
• Borg & Ide Imaging, PC

  • Diagnostic Radiology Physician
  • Rochester, NY
  • NPI 1194714402
  NPD (past)
• Borg Imaging Group LLP

  • Specialist
  • Rochester, NY
  • NPI 1528001385
  NPD (past)
• Doctors Weaver & Weaver P C

  • Neurological Surgery Physician
  • Roanoke, VA
  • NPI 1154419802
  NPD (past)
• Medical Imaging Specialists, PC

  • Diagnostic Radiology Physician
  • Salem, VA
  • NPI 1558317503
  NPD (past)
• Weaver Neurosurgical Spine, PC

  • Neurological Surgery Physician
  • Roanoke, VA
  • NPI 1831482264
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1619049459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 RAVINES EDGE CT STE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432355426",
            "telephone_number": "614-488-5090",
            "fax_number": "614-845-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 RAVINES EDGE CT STE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432355426",
            "telephone_number": "614-488-5090",
            "fax_number": "614-845-5216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "AMANDA",
        "middle_name": "S.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "OH",
            "license": "35.090294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00418673",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amandacooper@mhccaremail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8100 Ravines Edge Ct Ste 100",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432355426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "NORTH",
            "middle_name": "S",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shayna Leigh Coon, PA-C
• Kendal Lee Cooney, DNP, MSN, FNP-BC
• Michael John Cooney, M.D.
• Ann Marie Cooper-Milne, ATC
• Akili Jahi Cooper
• Andrea Cooper, PH.D.
• Antea Cooper
• Avraham Z. Cooper, M.D.
• Chenara Cooper
• Christopher Cooper, L. AC

• Vascular & Interventional Radiology Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Vascular & Interventional Radiology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.