Individual provider Active NPI

Jamie L Cooper, DO

  • Obstetrics & Gynecology Physician
  • Mooresville, IN
National Provider Identifier
1629017199
Registry record updated Jul 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
02002828A Issued in IN
Practice address
1205 Hadley Rd
Mooresville, IN 46158-1737
Phone
(317) 584-3454
Fax
(317) 584-3435
NPI assigned
Jun 6, 2006
Last updated
Jul 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 02002828A IN Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20051027000748 IN Practitioner - Obstetrics/Gynecology 7214954460 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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 HospitalGroup PAC ID 7315837671, 128 clinicians

Practice addresses (Care Compare)

731 N Lincoln St
Greensburg, IN 47240-1328
Phone (812) 222-2229

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Decatur County Memorial Hospital CurrentSince Mar 1, 2022 Accepting new patients
Decatur County Memorial Hospital CurrentSince Mar 1, 2022 Accepting new patients
Decatur County Memorial Hospital CurrentSince Jan 1, 2025 Accepting new patients
Major Hospital Past Accepting new patients
Decatur County Memorial 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

731 N Lincoln St
Greensburg, IN 47240
Phone (812) 222-2229

902 N Lincoln St
Ste 201
Greensburg, IN 47240
Phone (812) 222-3627

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1629017199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8051 S EMERSON AVE STE 400",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462378633",
            "telephone_number": "317-865-3600",
            "fax_number": "317-885-3850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 HADLEY RD",
            "city": "MOORESVILLE",
            "state": "IN",
            "postal_code": "461581737",
            "telephone_number": "317-584-3454",
            "fax_number": "317-584-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "JAMIE",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "02002828A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, IN

Sources for this page

Verify at the official NPI Registry.