Organization Active NPI

Alex D. Cooper, MD, PLLC

  • Neurology Physician
  • Seattle, WA
National Provider Identifier
1982832218
Registry record updated Jun 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD60071796 Issued in WA
Legal business name
ALEX D. COOPER, MD, PLLC
Practice address
1570 N 115TH St
Suite 14
Seattle, WA 98133-8412
Phone
(206) 365-0111
Fax
(206) 365-2980
NPI assigned
Jun 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2009

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

Authorized official

Name
Dr. Alex D Cooper, MD
Title
Physician
Phone
(206) 365-0111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X MD60071796 WA Primary

Addresses

Primary practice location

1570 N 115TH St
Suite 14
Seattle, WA 98133-8412

Mailing address

1570 N 115TH St
Suite 14
Seattle, WA 98133-8412
Phone (206) 365-0111

Other identifiers 1

IdentifierTypeStateIssuer
849495900MedicaidMN

National Provider Directory

National Provider Directory

Locations

1570 N 115th St
Ste 14
Seattle, WA 98133
Phone (206) 365-0111

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245888000000",
    "number": "1982832218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 N 115TH ST",
            "address_2": "SUITE 14",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338412",
            "telephone_number": "206-365-0111",
            "fax_number": "206-365-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 N 115TH ST",
            "address_2": "SUITE 14",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338412",
            "telephone_number": "206-365-0111",
            "fax_number": "206-365-2980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEX D. COOPER, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-25",
        "last_updated": "2009-06-25",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "206-365-0111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": "MD60071796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "849495900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; 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.