COOPER LOOMIS TERRY (NPI# 1407887797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407887797 |
| Entity Type | Individual |
| Full Name | COOPER LOOMIS TERRY |
| Credential | MD |
| Practice Address |
497 Azalea Dr Suite 102 Oxford MS 38655-7905 |
| Practice Telephone | 6625132000 |
| Practice Fax Number | 6625132001 |
| Mailing Telephone | 6625132000 |
| Mailing Fax Number | 6625132001 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2019-04-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | 14854 | MS | Allopathic & Osteopathic Physicians |
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
14854 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00117049 | 05 |
| Street Address |
497 AZALEA DR SUITE 102 |
| City | OXFORD |
| State | MS |
| Zip Code | 38655-7905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649245549 | Bradford J Dye IIi | Otolaryngology | 497 Azalea Dr, Suite 101, Oxford, MS 38655-7905 | 2006-02-22 |
| 1730459504 | Anna Marie Burns | Specialist/Technologist | 497 Azalea Dr, Suite 102, Oxford, MS 38655-7905 | 2012-01-10 |
| 1508031568 | Lorrain Tindall Brown | Audiologist | 497 Azalea Dr, Suite 101, Oxford, MS 38655-7905 | 2008-04-29 |
| 1467658138 | Melanie Hatcher Randle | Audiologist | 497 Azalea Dr, Oxford, MS 38655-7905 | 2007-06-21 |
| 1497975106 | Byron Pearson Windham | Otolaryngology | 497 Azalea Dr, #101, Oxford, MS 38655 | 2007-04-26 |
| 1023042033 | Oxford Orthopaedics and Sports Medicine Pllc | Orthopaedic Surgery | 497 Azalea Dr, Suite 102, Oxford, MS 38655-7905 | 2006-07-10 |
| 1700851615 | John F Laurenzo | Otolaryngology | 497 Azalea Dr, Suite 101, Oxford, MS 38655-7905 | 2006-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619585809 | Oxford Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 616 Commerce Parkway, Oxford, MS 38655 | 2020-07-14 |
| 1760044465 | Lindsay Low Beauchamp | Speech-Language Pathologist | 169 Ms-6 #102, Oxford, MS 38655 | 2019-07-02 |
| 1861058075 | Tomiko D Mackey | Social Worker | 100 Carriage Cove, Oxford, MS 38655 | 2019-05-13 |
| 1174090039 | Derionne Brooks | Specialist/Technologist | 972 Hathorn Road, University, MS 38655 | 2018-10-30 |
| 1497236327 | Providence Companion Care | Nurse's Aide | 317 Heritage Dr Ste 3b, Oxford, MS 38655 | 2018-08-28 |
| 1255817292 | Marcela Caroline Weber | Counselor | 152 Mississippi 7 South, Oxford, MS 38655 | 2018-07-12 |
| 1649775123 | Oxford Outpatient Center, LLC | Clinic/Center | 611 Commerce Pkwy, Oxford, MS 38655 | 2018-03-27 |
| 1073039962 | Sharon Yvette Holloway | Social Worker | 152 Hwy and South, Oxford, Ms 38655, Oxford, MS 38655 | 2017-08-22 |
| 1447774682 | Courtney M Purvis | Physical Therapist | 300 Enterprise Dr Ste B, Oxford, MS 38655 | 2017-07-31 |
| 1649716580 | Taylor Lynn Smith | Counselor | 152 Ms-7, Oxford, MS 38655 | 2017-01-17 |
| Find all providers in zip 38655 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831525500 | Mccullough-hyde Memorial Hospital, Inc. | Orthopaedic Surgery | 5151 Morning Sun Rd Ste A, Pinnacle Orthopaedics & Sports Medicine, Oxford, OH 45056-9546 | 2013-09-25 |
| 1548778285 | Orthopaedic Specialists of North Carolina, P.a. | Orthopaedic Surgery | 103 Professional Park Ste A, Oxford, NC 27565-2581 | 2018-01-16 |
| 1912042151 | Allen R. Prince D.o., P.C. | Orthopaedic Surgery | 385 N Lapeer Rd, Oxford, MI 48371-3610 | 2007-02-21 |
| 1023042033 | Oxford Orthopaedics and Sports Medicine Pllc | Orthopaedic Surgery | 497 Azalea Dr, Suite 102, Oxford, MS 38655-7905 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821585241 | Jazzma Trice | Orthopaedic Surgery | 4381 S Eason Blvd Ste 303, Tupelo, MS 38801-6584 | 2018-04-20 |
| 1629596804 | Ortho Express Holding Company, LLC | Orthopaedic Surgery | 173a Whaley Dr, Ste B, Holly Springs, MS 38635 | 2017-09-07 |
| 1720506264 | Ortho Express Holding Company, LLC | Orthopaedic Surgery | 3952c N Gloster St, Tupelo, MS 38804-0913 | 2017-09-05 |
| 1477789964 | Letonoff Orthopaedics & Sports | Orthopaedic Surgery | 452 Court House Road, Suite G, Gulfport, MS 39507 | 2009-06-10 |
| 1063624948 | Richard D. Rainey | Orthopaedic Surgery | 1211 South Gloster, Suite A, Tupelo, MS 38801 | 2007-05-04 |
| 1053530246 | Orthoone Sports Medicine & Orthopaedics, Pllc | Orthopaedic Surgery | 9085 E Sandidge Cv, Suite 200, Olive Branch, MS 38654-3575 | 2007-04-25 |
| 1144209727 | Martin M Pomphrey Jr. | Orthopaedic Surgery | 307 Hospital Rd, Starkville, MS 39759-2155 | 2006-01-12 |
| 1497396931 | Ortho Express Holding Company, LLC | Orthopaedic Surgery | 125 Goodman Rd W Ste D, Southaven, MS 38671-9481 | 2019-10-07 |
| 1710545439 | Ortho Express Holding Company, LLC | Orthopaedic Surgery | 101 Wilburn Way, Starkville, MS 39759-3693 | 2019-05-29 |
| 1821490723 | The University of Southern Mississippi | Orthopaedic Surgery | 118 College Dr, 5017, Hattiesburg, MS 39406-0002 | 2014-09-23 |
| Find all providers with the same taxonomy | ||||
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| 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.