Charita Nicole Cooper, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3186 Issued in OH

Practice address

16705 Square Dr
Marysville, OH 43040-8722

Phone

(937) 642-4400

Fax

(937) 642-4443

NPI assigned

Jul 6, 2006

Last updated

Apr 5, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 OH

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Synergy Medical LLCGroup PAC ID 8325314354, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Synergy Medical, LLC

  • General Practice Physician
  • Marysville, OH
  • NPI 1457887705
  Medicare reassignment Care Compare group NPD Authorized official
• Buckeye Sports and Family Chiropractice Center, Inc

  • Chiropractor
  • Marysville, OH
  • NPI 1801923669
  Authorized official Same address or phone

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365120000000",
    "number": "1689606436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16705 SQUARE DR",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430408476",
            "telephone_number": "937-642-4400",
            "fax_number": "937-642-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16705 SQUARE DR",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430408722",
            "telephone_number": "937-642-4400",
            "fax_number": "937-642-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "CHARITA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2013-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2326049",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kirby L Columber, PT, DPT, OCS
• Julie Combs, CNP
• Tracy Jean Combs, LPN
• Lisa Jean Conley, D.D.S.
• Consolidated Care, Inc.
• Patrick Stephen Cooper, DC
• Sherrill Alta Corbett
• Cornerstone Medical Services of Columbus LLC (AdaptHealth)
• Cornerstone Medical Services- Midwest, LLC (AdaptHealth)
• Eric James Cortez, M.D.

• Chiropractor in Marysville, OH
• Providers in Marysville, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.