NPIMap

Individual provider Active NPI

Joseph David Cooper, MD

  • Ophthalmology Physician
  • Marietta, OH
National Provider Identifier
1740277177
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35.055064 Issued in OH
Practice address
330 E 8TH St Ste 150
Marietta, OH 45750-3383
Phone
(740) 376-5590
Fax
(740) 376-5591
NPI assigned
Sep 30, 2005
Last updated
Jul 14, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 15249 WV
Ophthalmology Physician 207W00000X 35.055064 OH Primary

Addresses

Primary practice location

330 E 8TH St Ste 150
Marietta, OH 45750-3383

Mailing address

PO Box 449
Marietta, OH 45750-0449

Other identifiers 2

IdentifierTypeStateIssuer
0848337MedicaidOH
0095523000MedicaidWV

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address joseph.cooper@mmhs.medicity.net

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080411000295 OH Practitioner - Ophthalmology 3476630609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Hahnemann University College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marietta Memorial HospitalGroup PAC ID 8224928965, 387 clinicians

Practice addresses (Care Compare)

330 E 8TH St
Marietta, OH 45750-3383

401 Matthew St
Marietta, OH 45750-1635
Phone (740) 374-1400

799 Farson St
Suite 210
Belpre, OH 45714-1044
Phone (740) 423-3082

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.36 of 100Reported as individual
Quality
67.92
Improvement activities
40
Cost
100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery172

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.055064OHMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marietta Memorial Hospital CurrentSince Jan 1, 2013 Accepting new patients
Marietta Memorial Hospital CurrentSince Jun 2, 2008 Accepting new patients

Locations

210 N 7th St
Ste 200
Marietta, OH 45750
Phone (740) 373-8046

330 E 8th St
Ste 150
Marietta, OH 45750
Phone (740) 376-5590

330 E 8th St
Ste 151
Marietta, OH 45750
Phone (740) 374-4945

400 Matthew St
Ste 100
Marietta, OH 45750
Phone (740) 374-4902

400 Matthew St
Ste 101
Marietta, OH 45750
Phone (740) 568-4150

401 Matthew St
Marietta, OH 45750
Phone (740) 374-1400

701 Hildreth Ln
Marietta, OH 45750
Phone (740) 371-7194

Interoperability endpoints

  • Direct secure messaging: joseph.cooper@mmhs.medicity.net

Ownership & related parties

All facility ownership & control disclosures 19

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Marietta Memorial HospitalMarietta, OH, CCN 360147 Hospital Corporate Director Jan 1, 2003
Selby General HospitalMarietta, OH, CCN 361319 Hospital Corporate Director Jan 1, 2003
Selby General HospitalMarietta, OH, CCN 36Z319 Hospital Corporate Director Jun 2, 2008
Sistersville General HospitalSistersville, WV, CCN 511304 Hospital Corporate Director Jan 1, 2003
Sistersville General Hospital Swing Bed UnitSistersville, WV, CCN 51Z304 Hospital Corporate Director Oct 1, 2020
Journey HospiceSistersville, WV, CCN 511510 Hospice Corporate Director Oct 1, 2020
Sistersville General Medical CenterMiddlebourne, WV, CCN 513413 Rural health clinic Corporate Director Oct 1, 2020
St Marys Primary CareSaint Marys, WV, CCN 513421 Rural health clinic Corporate Director Oct 1, 2020
Sistersville Rural Health ClinicSistersville, WV, CCN 513412 Rural health clinic Corporate Director Oct 1, 2020
Dept of Primary CareWoodsfield, OH, CCN 363446 Rural health clinic Corporate Director Jan 1, 2003
Dept of Primary Care CaldwellCaldwell, OH, CCN 363458 Rural health clinic Operational/Managerial Control Jan 1, 2003
Dept of Primary Care BarlowVincent, OH, CCN 363459 Rural health clinic Operational/Managerial Control Jan 1, 2003
Dept of Primary Care 424Williamstown, WV, CCN 513437 Rural health clinic Operational/Managerial Control Jan 1, 2003
320 E 8TH St Rural Health ClinicMarietta, OH, CCN 363456 Rural health clinic Corporate Director Jan 1, 2003
330 E 8TH St Rural Health ClinicMarietta, OH, CCN 363457 Rural health clinic Corporate Director Jan 1, 2003
300 E 8TH St Rural Health ClinicMarietta, OH, CCN 363455 Rural health clinic Corporate Director Jan 1, 2003
802 Wayne St Rural Health ClinicMarietta, OH, CCN 363454 Rural health clinic Corporate Director Jan 1, 2003
Department of Primary Care LoganLogan, OH, CCN 363462 Rural health clinic Corporate Director Jan 1, 2003
Athens Rural Health ClinicAthens, OH, CCN 363461 Rural health clinic Corporate Officer Jan 1, 2003

Owned or controlled facilities with NPI records 19

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 19

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1740277177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 449",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457500449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 E 8TH ST STE 150",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457503383",
            "telephone_number": "740-376-5590",
            "fax_number": "740-376-5591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "JOSEPH",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WV",
            "license": "15249",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35.055064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0848337",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0095523000",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joseph.cooper@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "330 E 8th St Ste 150",
            "city": "Marietta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457503383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marietta, OH

Sources for this page

Verify at the official NPI Registry.