Individual provider Active NPI

Pamela S Cooper, PA

  • Medical Physician Assistant
  • New Holland, PA
National Provider Identifier
1851463996
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
051932 Issued in PA
Practice address
1065 W Main St
New Holland, PA 17557-9110
Phone
(717) 556-0702
Fax
(717) 556-0799
NPI assigned
Nov 14, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 051932 PA Primary

Addresses

Primary practice location

1065 W Main St
New Holland, PA 17557-9110

Mailing address

1065 W Main St
New Holland, PA 17557-9110
Phone (717) 556-0702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20130513000436 PA Order and Referring Only - Physician Assistant 1951548809

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
051932PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Parochail Medical Center Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851463996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 W MAIN ST",
            "city": "NEW HOLLAND",
            "state": "PA",
            "postal_code": "175579110",
            "telephone_number": "717-556-0702",
            "fax_number": "717-556-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 W MAIN ST",
            "city": "NEW HOLLAND",
            "state": "PA",
            "postal_code": "175579110",
            "telephone_number": "717-556-0702",
            "fax_number": "717-556-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "PAMELA",
        "middle_name": "S",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "051932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Holland, PA

Sources for this page

Verify at the official NPI Registry.