NPIMap

Organization Active NPI

Robert F. Cooper III MD PA

  • Family Medicine Physician
  • Oxford, MS
National Provider Identifier
1790958783
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
07642 Issued in MS
Legal business name
ROBERT F. COOPER III MD PA
Practice address
2200 S Lamar Blvd
Suite B
Oxford, MS 38655-5200
Phone
(662) 234-1121
Fax
(662) 236-2261
NPI assigned
Apr 10, 2008
Last updated
Apr 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Authorized official

Name
Dr. Robert F Cooper III, M.D.NPI 1609982412
Title
Medical Doctor
Phone
(662) 234-1121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 07642 MS Primary

Addresses

Primary practice location

2200 S Lamar Blvd
Suite B
Oxford, MS 38655-5200

Mailing address

2200 S Lamar Blvd
Suite B
Oxford, MS 38655-5200
Phone (662) 234-1121

Other identifiers 1

IdentifierTypeStateIssuer
06830829MedicaidMS

National Provider Directory

National Provider Directory

Locations

2200 S Lamar Blvd
Oxford, MS 38655
Phone (662) 234-1121

2200 S Lamar Blvd
Ste B
Oxford, MS 38655
Phone (662) 234-1121

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1790958783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 S LAMAR BLVD",
            "address_2": "SUITE B",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555200",
            "telephone_number": "662-234-1121",
            "fax_number": "662-236-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 S LAMAR BLVD",
            "address_2": "SUITE B",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555200",
            "telephone_number": "662-234-1121",
            "fax_number": "662-236-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT F. COOPER III MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "662-234-1121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "07642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06830829",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.