DR. LARRY COOPER (NPI# 1023078086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023078086 |
| Entity Type | Individual |
| Full Name | DR. LARRY COOPER |
| Credential | MD |
| Practice Address |
1401 River Rd Greenwood MS 38930-4030 |
| Mailing Address |
Po Box 284 Canton MS 39046-0284 |
| Practice Telephone | 6624591440 |
| Practice Fax Number | 6019817792 |
| Mailing Telephone | 6012016210 |
| Mailing Fax Number | 6019817792 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2014-10-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 12496 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00111401 | 05 | |
| MS | MEDICARE ID TYPE UNSPECIFIED | 080001597 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124660584 | Larry D Cooper Jr. | Behavior Technician | 3252 Hospital Dr, Juneau, AK 99801-7808 | 2019-10-16 |
| 1831192574 | Larry J Cooper | Radiology | 1001 W Eagle Dr, Decatur, TX 76234-3745 | 2005-05-26 |
| 1326392705 | Larry Trevor Cooper | Counselor | 1280 Terminal Way Ste 5, Reno, NV 89502-3242 | 2012-11-06 |
| 1083728976 | Larry Paige Cooper | Psychiatry & Neurology | 412 Sw 12th Ave, Portland, OR 97205-2329 | 2006-08-18 |
| Street Address |
1401 RIVER RD |
| City | GREENWOOD |
| State | MS |
| Zip Code | 38930-4030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518948264 | Greenwood Anesthesia & Pain Mgmt, Pllc | Anesthesiology | 1401 River Rd, Anesthesia Department, Greenwood, MS 38930-4030 | 2005-11-09 |
| 1760024442 | Paula Perryman Mcdowell | Nurse Practitioner | 1401 River Rd, Greenwood, MS 38930-4030 | 2019-10-14 |
| 1154973345 | Angela Seto Hudson | Nurse Practitioner | 1401 River Rd, Greenwood, MS 38930 | 2019-07-09 |
| 1245892777 | Carol Clark Moses | Nurse Practitioner | 1401 River Rd, Greenwood, MS 38930-4030 | 2019-07-04 |
| 1003477449 | Kara Austin | Nurse Practitioner | 1401 River Rd, Greenwood, MS 38930-4030 | 2019-06-26 |
| 1902362734 | Tammie Marshell Brown | Nurse Practitioner | 1401 River Rd, Greenwood, MS 38930-4030 | 2019-02-18 |
| 1023591559 | William Jesse Hodnett IIi | Nurse Practitioner | 1401 River Rd, Greenwood, MS 38930-4030 | 2018-09-11 |
| 1184129306 | Tammarin S Collins | Nurse Practitioner | 1401 River Rd, Greenwood, MS 38930-4030 | 2018-03-28 |
| 1467976548 | Michele Latonya Brooks | Nurse Practitioner | 1401 River Rd, Greenwood, MS 38930-4030 | 2017-07-31 |
| 1386185197 | Alliance Healthcare Services Inc | Clinic/Center | 1401 River Rd, Greenwood, MS 38930-4030 | 2017-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447871579 | Stewart Health Care Training Academy | Home Health Aide | 522 West Park Avenue Suite S, Greenwood, MS 38930 | 2020-04-29 |
| 1801386487 | Sunflower-humphreys Counties Progress, Inc. | Case Management | 414 Martin Luther King Dr, Indianola, MS 38930 | 2018-05-18 |
| 1053826610 | Sarah Malone | Counselor | 2504 Browing Road, Greenwood, MS 38930 | 2017-12-05 |
| 1780109850 | Jasmine Turner Edwards | Pharmacist | 2202 Us 82 W Frontage Rd, Greenwood, MS 38930 | 2017-08-09 |
| 1861916199 | Maurice Wright | Social Worker | 522 West Park Avenue, Suite Q-r, Greenwood, MS 38930 | 2017-07-28 |
| 1215464607 | Catherine Johnson | Counselor | 522 West Park Avenue, Greenwood, MS 38930 | 2017-05-16 |
| 1598205262 | Vignesh Kannan | Internal Medicine | Greenwood Leflore Hospital, 1401 River Rd, Greenwood, MS 38930 | 2017-03-01 |
| 1952847691 | Mischa Mccray | Counselor | 804 E Park Ave, Greenwood, MS 38930 | 2017-01-18 |
| 1760933147 | Ginger Caldero | Social Worker | 522 West Park Ave, Greenwood, MS 38930 | 2016-10-20 |
| 1942750617 | Greenwood Leflore Hospital | Psychiatry & Neurology | 1401 River Rd Rm 534, Greenwood, MS 38930 | 2016-10-06 |
| Find all providers in zip 38930 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245862473 | Kristina Mckissick | Family Medicine | 805 Montague Ave, Greenwood, SC 29649-1471 | 2020-02-05 |
| 1487212130 | Self Medical Group | Family Medicine | 105 Vinecrest Ct # 510, Greenwood, SC 29646-8031 | 2019-05-29 |
| 1750800264 | Self Medical Group | Family Medicine | 110 Highway 246 N, Greenwood, SC 29649-8748 | 2017-09-15 |
| 1689066060 | Richard Glen Huber | Family Medicine | 31 N Restin Rd, Greenwood, IN 46142-8583 | 2015-02-23 |
| 1679912406 | Michael J. Mooney | Family Medicine | 965 Emerson Pkwy Ste J, Greenwood, IN 46143 | 2013-06-14 |
| 1114362639 | Sarah Ann Beeson | Family Medicine | 1000 Us Highway 31 S, Greenwood, IN 46143-2407 | 2013-05-10 |
| 1013350198 | Elise Rose Laroche | Family Medicine | 747 E County Line Rd Ste D, Greenwood, IN 46143-1082 | 2013-04-09 |
| 1548506868 | Community Health Network Inc | Family Medicine | 615 W Smith Valley Rd, Greenwood, IN 46142-3048 | 2012-12-13 |
| 1801158456 | Frank William Fortuna | Family Medicine | 461 Camby Court, Greenwood, IN 46142 | 2012-06-11 |
| 1417252636 | Self Medical Group | Family Medicine | 138 Wells Avenue, Greenwood, SC 29646-3837 | 2011-01-19 |
| Find all providers in GREENWOOD | ||||
Please comment or provide details below to improve the information on DR. LARRY COOPER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.