Larry J Cooper, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

D2400 Issued in TX

Practice address

1001 W Eagle Dr
Decatur, TX 76234-3745

Phone

(940) 627-7443

Fax

(940) 627-7597

NPI assigned

May 26, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: larry.cooper@4668404203524.direct.elationemr.com

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.

• Larry J. Cooper, MD

  • Radiology Clinic/Center
  • Decatur, TX
  • NPI 1578694030
  NPD (past) Authorized official

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

{
    "created_epoch": "1117065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1831192574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W EAGLE DR",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343745",
            "telephone_number": "940-627-7443",
            "fax_number": "940-627-7597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W EAGLE DR",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343745",
            "telephone_number": "940-627-7443",
            "fax_number": "940-627-7597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "LARRY",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-26",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "D2400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136183401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300067917",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160034488",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Columbia Medical Center of Denton Subsidiary, L.P.
• Tyler G Comans
• Kjersti Nelle Compton, ACNP
• Consultants in Lungs and Critical Care LLC
• Karen J Contreras, PMHNP
• David Gatti Corless, D.M.D
• Dee Cornell, PT ATC
• Cornerstone Caregiving West LLC
• County of Wise
• Donna Carole Covey, DNP, FNP, AGACNP

• All providers in Decatur, TX
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.