Leroy H Cooley, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

143660 Issued in NY

Practice address

1903 Sunset Ave
Utica, NY 13502-5617

Phone

(315) 797-1212

Fax

(315) 797-1537

NPI assigned

Jul 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332115200000",
    "number": "1992739353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 SUNSET AVE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025617",
            "telephone_number": "315-797-1212",
            "fax_number": "315-797-1537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 SUNSET AVE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025617",
            "telephone_number": "315-797-1212",
            "fax_number": "315-797-1537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOLEY",
        "first_name": "LEROY",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2012-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "143660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00561239",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200045569",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlin M Conway
• Kristen Conway, RD
• Kerri Suzanne Cook, PT
• Katherine Jane Cooke
• Elizabeth Cooley, MD
• Kourtney L Cooper, RN
• Robert A Cooper, NP
• Dawn Corbin, ATC, MED
• Veldin Corbo, OTR/L
• Carrie Elizabeth Corby, LMSW

• Orthopaedic Surgery Physician in Utica, NY
• Providers in Utica, NY by specialty
• Orthopaedic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; 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.