Individual provider Active NPI

Shawn Cooper, DO

  • Pediatrics Physician
  • York, PA
National Provider Identifier
1730313412
Registry record updated Jun 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
OS015977 Issued in PA
Practice address
2339 S George St
York, PA 17403-5009
Phone
(717) 812-3040
Fax
(717) 812-3049
NPI assigned
May 8, 2009
Last updated
Jun 10, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X OS015977 PA Primary

Addresses

Primary practice location

2339 S George St
York, PA 17403-5009

Mailing address

3421 Concord Rd
York, PA 17402-9001
Phone (717) 812-3040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, WV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221013000262 UT Practitioner - Pediatric Medicine 7315266251 Reassigns benefits to 1 organization
I20250911001538 WV Practitioner - Pediatric Medicine 7315266251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 Medical Ctr Dr
Morgantown, WV 26506

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation CurrentSince Aug 11, 2025 Accepting new patients
West Virginia University Medical Corporation Pediatrics CurrentSince Aug 11, 2025 Accepting new patients
Ashley Valley Physician Practice LLC CurrentSince Jul 1, 2022 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients
Ashley Valley Physician Practice, LLC CurrentSince Jul 1, 2022 Accepting new patients

Locations

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

150 W 100 N
Vernal, UT 84078
Phone (435) 789-3342

175 N 100 W
Ste 104
Vernal, UT 84078
Phone (435) 781-3053

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

Interoperability endpoints

  • Direct secure messaging: qak8611@yourcarecommunity.org
  • Direct secure messaging: shawn.cooper.1@19848.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1241740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465516800000",
    "number": "1730313412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 CONCORD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029001",
            "telephone_number": "717-812-3040",
            "fax_number": "717-812-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2339 S GEORGE ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174035009",
            "telephone_number": "717-812-3040",
            "fax_number": "717-812-3049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "SHAWN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-08",
        "last_updated": "2016-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "OS015977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.