Willie B Cooper III

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

6094 River Styx Rd
Medina, OH 44256-9782

Phone

(234) 788-0323

NPI assigned

Mar 3, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1677801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1649970104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6094 RIVER STYX RD",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442569782",
            "telephone_number": "234-788-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6094 RIVER STYX RD",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442569782",
            "telephone_number": "234-788-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "WILLIE",
        "middle_name": "B",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-03",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emilee Cooke, DO
• Abigail Jane Cooper, PMHNP-BC
• Chiquita Clayneese Cooper
• Heather Marie Cooper, MPT
• Kelly Cooper
• Andrew James Copa, PA-C
• Theresa Coriell, LPCC
• Vanessa Leigh Cornell, CNP
• Cornerstone Psychological & Counseling Services of Northeast Ohio
• Cornerstone Psychological and Counseling Today LLC

• Home Health Aide in Medina, OH
• Providers in Medina, OH by specialty
• Home Health Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; 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.