Cooper Medical LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

20216146522 Issued in GA

Legal business name

COOPER MEDICAL LLC

Practice address

223 Magnolia CT
Summerville, GA 30747-6055

Phone

(706) 266-4086

Fax

(800) 258-6025

NPI assigned

Dec 26, 2012

Last updated

Dec 26, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kevin Cooper

Title

Owner

Phone

(706) 266-4086

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1356480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356480000000",
    "number": "1689910440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 MAGNOLIA CT",
            "city": "SUMMERVILLE",
            "state": "GA",
            "postal_code": "307476055",
            "telephone_number": "706-266-4086",
            "fax_number": "800-258-6025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 MAGNOLIA CT",
            "city": "SUMMERVILLE",
            "state": "GA",
            "postal_code": "307476055",
            "telephone_number": "706-266-4086",
            "fax_number": "800-258-6025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPER MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-26",
        "last_updated": "2012-12-26",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-266-4086",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "GA",
            "license": "20216146522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oxygen Equipment & Supplies (DME) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2012; 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.