Active NPI
Maxwell Ian Cooper, M.D.
- Emergency Medicine Physician
- Chester, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD463855
- Practice address
- 1 Medical Center Blvd
Chester, PA 19013-3902 - Phone
- (610) 447-2000
- NPI assigned
- Mar 27, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0101258678 | VA | |
| Emergency Medicine Physician | 207P00000X | C1-0028184 | DE | |
| Emergency Medicine Physician | 207P00000X | MD463855 | PA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | PA |
Addresses
Primary practice location
1 Medical Center Blvd
Chester, PA 19013-3902
Mailing address
4536 Bonney Rd
Virginia Beach, VA 23462-3818
Phone (757) 490-9388
Other practice location 1
501 N Lansdowne Ave
Drexel Hill, PA 19026-1114
Phone (610) 284-8100
Other practice location 2
175 E Chester Pike
Ridley Park, PA 19078-2284
Phone (610) 595-6000
Other practice location 3
736 Battlefield Blvd N
Chesapeake, VA 23320-4941
Phone (757) 490-9388
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06937223 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Jefferson Medical College of Thomas Jefferson University, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10800 Knights Rd
Philadelphia, PA 19114-4200
Phone (215) 612-4000
334 Main St
Dickson City, PA 18519-1668
Phone (570) 476-3353
Hospital & facility affiliations
- Jefferson Health- Northeast
- Lehigh Valley Hospital - Dickson City
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Care Services of Pennsylvania, P.C. | Emergency Medicine | Current | Accepting new patients |
| Aria Health Physician Services | Current | Accepting new patients | |
| Emergency Physician Associates of Pennsylvania, PC | Emergency Medicine | Current | Accepting new patients |
| Prospect Health Access Network, Inc. | Emergency Medicine | Current | Accepting new patients |
| Prospect Health Access Network, Inc. | Current | Accepting new patients | |
| Prospect Health Access Network, Inc. | Current | Accepting new patients | |
| Aria Health Physician Services - Pathology | Current | Accepting new patients | |
| Aria Health Physician Services | Current | Accepting new patients | |
| Emergency Care Services of Pennsylvania, P.C. | Emergency Medicine | Current | Accepting new patients |
| Tidewater Emergency Medical Care, LTD. | Emergency Medicine | Current | Accepting new patients |
| Tidewater Emergency Medical Care | Past | Accepting new patients |
Locations
1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744
1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666
501 N Lansdowne Ave
Drexel Hill, PA 19026
Phone (610) 284-8100
300 Highland Ave
Hanover, PA 17331
Phone (717) 316-3711
1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100
3998 Red Lion Rd
Philadelphia, PA 19114
Phone (215) 612-4060
1101 Market St
Fl 19
Philadelphia, PA 19107
Phone (215) 481-6836
4900 Frankford Ave
Philadelphia, PA 19124
Phone (215) 612-2610
10800 Knights Rd
Philadelphia, PA 19114
Phone (215) 612-2610
175 E Chester Pike
Ridley Park, PA 19078
Phone (610) 595-6000
334 Main St
Scranton, PA 18519
Phone (570) 307-1767
100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281
736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124
Organizations & group practices 11
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.
-
- Family Medicine Physician
- Richboro, PA
- NPI 1750949806
-
- Emergency Medicine Physician
- Hanover, PA
- NPI 1619990900
-
- Emergency Medicine Physician
- Langhorne, PA
- NPI 1114955010
-
- Emergency Medicine Physician
- Chester, PA
- NPI 1568819084
-
- Emergency Medicine Physician
- Chesapeake, VA
- NPI 1710991153
-
- Family Medicine Physician
- Philadelphia, PA
- NPI 1053181297
-
- Anatomic Pathology & Clinical Pathology Physician
- Philadelphia, PA
- NPI 1083749931
-
- Emergency Medicine Physician
- Wilkes Barre, PA
- NPI 1235374927
-
- Diagnostic Radiology Physician
- Chester, PA
- NPI 1154776797
-
- Cardiovascular Disease Physician
- Ridley Park, PA
- NPI 1740637255
-
- Physician Assistant
- Chesapeake, VA
- NPI 1295366201
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1801963343
-
- General Acute Care Hospital
- Dickson City, PA
- NPI 1396402053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787097600000",
"number": "1922374669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4536 BONNEY RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234623818",
"telephone_number": "757-490-9388",
"fax_number": "757-490-9401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER BLVD",
"city": "CHESTER",
"state": "PA",
"postal_code": "190133902",
"telephone_number": "610-447-2000"
}
],
"practiceLocations": [
{
"address_1": "501 N Lansdowne Ave",
"address_purpose": "LOCATION",
"city": "Drexel Hill",
"state": "PA",
"postal_code": "190261114",
"country_code": "US",
"telephone_number": "610-284-8100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "175 E Chester Pike",
"address_purpose": "LOCATION",
"city": "Ridley Park",
"state": "PA",
"postal_code": "190782284",
"country_code": "US",
"telephone_number": "610-595-6000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "736 Battlefield Blvd N",
"address_purpose": "LOCATION",
"city": "Chesapeake",
"state": "VA",
"postal_code": "233204941",
"country_code": "US",
"telephone_number": "757-490-9388",
"fax_number": "757-490-9401",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COOPER",
"first_name": "MAXWELL",
"middle_name": "IAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-27",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0101258678",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "DE",
"license": "C1-0028184",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "MD463855",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PA",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06937223",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chester, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.