Jamie L Cooper, DO
Individual provider Active NPI Obstetrics & Gynecology Physician · Mooresville, IN
NPI 1629017199 · NPPES record last updated Jul 1, 2019
Key facts
- NPI
- 1629017199
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 02002828A (IN)
- Practice address
- 1205 Hadley Rd
Mooresville, IN 46158-1737 - Phone
- (317) 584-3454
- Fax
- (317) 584-3435
- NPI assigned
- Jun 6, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Decatur County Memorial Hospital
Practice addresses (Care Compare)
731 N Lincoln St
Greensburg, IN 47240-1328
Phone (812) 222-2229
Hospital & facility affiliations
- Decatur County Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051027000748 | IN | Practitioner - Obstetrics/Gynecology | 7214954460 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02002828A | IN | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Decatur County Memorial Hospital | Current |
Accepting new patients | |
| Decatur County Memorial Hospital | Current |
Accepting new patients | |
| Decatur County Memorial Hospital | Current |
Accepting new patients | |
| Major Hospital | Past | Accepting new patients | |
| Decatur County Memorial Hospital | Past | Accepting new patients |
Locations
26 Six Pine Ranch Rd
Batesville, IN 47006
Phone (812) 934-5252
720 N Lincoln St
Greensburg, IN 47240
Phone (812) 522-2349
902 N Lincoln St
Ste 201
Greensburg, IN 47240
Phone (812) 222-3627
731 N Lincoln St
Greensburg, IN 47240
Phone (812) 222-2229
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 02002828A | IN | Yes |
Addresses
Primary practice location
1205 Hadley Rd
Mooresville, IN 46158-1737
Mailing address
8051 S Emerson Ave Ste 400
Indianapolis, IN 46237-8633
Phone (317) 865-3600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000720579 | Other | IN | ANTHEM |
| 7554169 | Other | IN | AETNA |
| 000000480530 | Other | IN | ANTHEM |
| 200543500 | Medicaid | IN | |
| 1935002 | Other | IN | CIGNA |
Other providers in Mooresville, IN
- City Optical Co., Inc.
- Lori Renee Clark
- Debra Neal Cohen
- Kristi Combs
- Community Hospitals of Indiana Inc
- Sarah Corbin-Green
- Cornerstone Home Health Care, Inc
- Erika Cottrell
- Kay Lyn Couse
- Dailey Chiropractic
All providers in Mooresville, IN · Obstetrics & Gynecology Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.