Organization Active NPI

Katharine R. Cooper, M.D., P.C.

  • Specialist
  • Alexander City, AL
National Provider Identifier
1972594265
Registry record updated Nov 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
18123 Issued in AL
Legal business name
KATHARINE R. COOPER, M.D., P.C.
Practice address
3368 Highway 280
Suite 205
Alexander City, AL 35010-3393
Phone
(256) 234-2464
Fax
(256) 234-2440
NPI assigned
Nov 4, 2005
Last updated
Nov 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2008

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

Authorized official

Name
Katharine R Cooper, M.D.NPI 1821057845
Title
President
Phone
(256) 234-2464

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 18123 AL Primary

Addresses

Primary practice location

3368 Highway 280
Suite 205
Alexander City, AL 35010-3393

Mailing address

3368 Highway 280
Suite 205
Alexander City, AL 35010-3393
Phone (256) 234-2464

Other identifiers 3

IdentifierTypeStateIssuer
009937370MedicaidAL
160051058OtherALMEDICARE RAILROAD ID #
98417OtherALALABAMA BCBS ID #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081217000371 AL Part B Supplier - Clinic/Group Practice 2264594761 Receives reassigned benefits from 1 practitioner
Practice locations: Alexander City, AL

National Provider Directory

National Provider Directory

Locations

3368 Highway 280
Ste 205
Alexander City, AL 35010
Phone (256) 234-2464

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11185/brand/1/csg/1/fhir/r4

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": "1131062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226275200000",
    "number": "1972594265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3368 HIGHWAY 280",
            "address_2": "SUITE 205",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350103393",
            "telephone_number": "256-234-2464",
            "fax_number": "256-234-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3368 HIGHWAY 280",
            "address_2": "SUITE 205",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350103393",
            "telephone_number": "256-234-2464",
            "fax_number": "256-234-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHARINE R. COOPER, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-04",
        "last_updated": "2008-11-10",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "KATHARINE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-234-2464",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "18123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009937370",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD ID #",
            "identifier": "160051058",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA BCBS ID #",
            "identifier": "98417",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexander City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.