Cooper Clinic P a

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MC-0254 Issued in AR

Legal business name

COOPER CLINIC P A

Practice address

303 S 5TH St
Paris, AR 72855-4501

Phone

(479) 963-2132

Fax

(479) 963-2046

NPI assigned

May 7, 2007

Organization subpart

No

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

Authorized official

Name

Curtis Ralston

Title

Ceo

Phone

(479) 274-2000

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441065600000",
    "number": "1891908166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3528",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729133528",
            "telephone_number": "479-274-2000",
            "fax_number": "479-274-2194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S 5TH ST",
            "city": "PARIS",
            "state": "AR",
            "postal_code": "728554501",
            "telephone_number": "479-963-2132",
            "fax_number": "479-963-2046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPER CLINIC P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2015-09-01",
        "status": "A",
        "authorized_official_last_name": "RALSTON",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "479-274-2000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "MC-0254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126909729",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chung Eye Care, PA
• Anh Q Chung, OD
• Kathleen H Chung, OD
• Teresa A Collett, LPC
• Tabitha Cook, MHPP
• Cooper Clinic PA
• Cooper Clinic, PA
• County of Logan
• Netlla Anne Cureton, APRN, FNP-C
• Victoria Estala

• Family Medicine Physician in Paris, AR
• Providers in Paris, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; 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.