William H Cooper, MD
Individual provider Active NPI Neurology Physician · Monte Vista, CO
NPI 1629186010 · NPPES record last updated May 5, 2021
Key facts
- NPI
- 1629186010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- 25191 (CO)
- Practice address
- 103 Chico CT
Monte Vista, CO 81144-1065 - Phone
- (719) 852-9400
- Fax
- (719) 852-9311
- NPI assigned
- Aug 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01034275 | IN | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lutheran Hospital Association of the San Luis Valley | Past |
Accepting new patients | |
| American Health Network of Indiana LLC | Past | Accepting new patients | |
| Lutheran Hospital Association of the San Luis Valley | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 01034275 | IN | |
| Neurology Physician | 2084N0400X | 25191 | CO | Yes |
Addresses
Primary practice location
103 Chico CT
Monte Vista, CO 81144-1065
Mailing address
106 Blanca Ave
Alamosa, CO 81101-2340
Phone (719) 587-1417
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100334010 | Medicaid | IN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | neu.wcooper@direct.slvrmc.org | Direct |
Other providers in Monte Vista, CO
- Natalie Kay Chavez
- Children'S Specialty Clinic of San Luis Valley
- Children'S Specialty Clinic of San Luis Valley
- Colorado Autism Consultants, LLC
- Craig Alan Combes
- County of Rio Grande Consolidated School District No. 8
- Kendra Cox
- Crossroads Turning Points Inc
- Jordan Lynn Edgar Curtis
- David N. Hinkley, O.D.
All providers in Monte Vista, CO · Neurology Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.