Jaime Cooper, MD
Individual provider Active NPI Pediatrics Physician · Lawrenceburg, KY
NPI 1710067905 · NPPES record last updated Dec 28, 2011
Key facts
- NPI
- 1710067905
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 40476 (KY)
- Practice address
- 1080 Glensboro Rd
Lawrenceburg, KY 40342-9033 - Phone
- (502) 839-4091
- NPI assigned
- Oct 16, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 87.32
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070730000536 | KY | Practitioner - Pediatric Medicine | 3274634662 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40476 | KY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Current |
Accepting new patients | |
| Baptist Health Medical Group Inc | Current |
Accepting new patients | |
| Baptist Health Medical Group Inc | Current |
Accepting new patients |
Locations
96 Future Dr
Corbin, KY 40701
1080 Glensboro Rd
Lawrenceburg, KY 40342
Phone (502) 839-4091
4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 40476 | KY | Yes |
| Family Medicine Physician | 207Q00000X | 40476 | KY |
Addresses
Primary practice location
1080 Glensboro Rd
Lawrenceburg, KY 40342-9033
Mailing address
PO Box 4168
Frankfort, KY 40604-4168
Phone (502) 223-5811
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100136960 | Medicaid | KY |
Other providers in Lawrenceburg, KY
- Jordan Clyde Claborn
- William Austin Clark
- Ruth Clatos
- Donald Ray Collins
- Bailey Nicole Conley
- Victoria Copley
- Cornerstone Pelvic Health and Wellness, PLLC
- Mary Ann Cornish
- Alexandria Coutts
- Sylvia Karen Cox
All providers in Lawrenceburg, KY · Pediatrics Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.