Individual provider Active NPI

Marcus Stanton Cosper, PA-C

  • Physician Assistant
  • Springfield, OH
National Provider Identifier
1760736375
Registry record updated Feb 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
003499 Issued in OH
Practice address
4867 Urbana Rd
Springfield, OH 45502-9815
Phone
(937) 323-0951
NPI assigned
Nov 5, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 003499 OH
Physician Assistant 363A00000X 003499 OH Primary

Addresses

Primary practice location

4867 Urbana Rd
Springfield, OH 45502-9815

Mailing address

2041 Burning Tree LN
Youngstown, OH 44505-1701
Phone (330) 507-2988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130520000332 OH Practitioner - Physician Assistant 8325285992 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
003499OHMDGeneral Acute Care Hospital

Practice roles

OrganizationSpecialtyStatusNew patients
Triumph Living LLC Current Accepting new patients
Triumph Living LLC Current Accepting new patients
Lima Memorial Joint Operating Company General Acute Care Hospital Past Accepting new patients
Empowering Integrated Care Solutions, LLC PastSince Jul 1, 2024 Accepting new patients
Emergency Associates of Eastern Ohio LLC Past Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581120000000",
    "number": "1760736375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 BURNING TREE LN",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051701",
            "telephone_number": "330-507-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4867 URBANA RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455029815",
            "telephone_number": "937-323-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSPER",
        "first_name": "MARCUS",
        "middle_name": "STANTON",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-05",
        "last_updated": "2020-02-08",
        "certification_date": "2020-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "OH",
            "license": "003499",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "003499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

Verify at the official NPI Registry.