Janine Lynn Cooper, PA C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA04724 Issued in TX

Practice address

6560 Fannin Street
Suite 1842
Houston, TX 77030-2761

Phone

(713) 790-2089

Fax

(713) 794-0576

NPI assigned

Jun 8, 2006

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

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Idoc Telehealth Solutions, Inc

  • Critical Care Medicine (Internal Medicine) Physician
  • Houston, TX
  • NPI 1851783534
  Medicare reassignment
• Idoc Virtual Telehealth Texas

  • Specialist
  • Houston, TX
  • NPI 1275098568
  Medicare reassignment

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193616000000",
    "number": "1669413134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P. O. BOX 4346 DEPT 205",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104346",
            "telephone_number": "713-790-5227",
            "fax_number": "713-790-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 FANNIN STREET",
            "address_2": "SUITE 1842",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302761",
            "telephone_number": "713-790-2089",
            "fax_number": "713-794-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "JANINE",
        "middle_name": "LYNN",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2007-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA04724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8N9697",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frank Coedrond Cooper, R.PH
• Hannah Cooper, MS, RD, LD
• Heather Rozea Cooper, PHARMD
• Jaelyn Simone Cooper
• James B. Cooper, M.D.
• Jason E Cooper, M.D.
• Javona Cooper
• John R. Cooper Jr., M.D.
• Juan Orberghette Cooper, PHD
• Kate Cooper, CRNA

• Surgical Physician Assistant in Houston, TX
• Providers in Houston, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.