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DR. JAC ALAN COOPER M.D. NPI 1144583287


NPI Information

NPI: 1144583287
Provider Name: DR. JAC ALAN COOPER, M.D.
Classification: Colon & Rectal Surgery - 208C00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
900 N 1ST ST
SPRINGFIELD, IL
ZIP 62702
Phone: (217) 528-7541
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DR. Jac Alan Cooper, M.D. is a colon rectal surgery in Springfield, IL with 12 years of experience. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. DR. Jac Alan Cooper, M.D. NPI is 1144583287. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2012

The provider's business location address is:

900 N 1ST ST
SPRINGFIELD, IL
ZIP 62702-749
Phone: (217) 528-7541

The NPI 1144583287 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/22/2012 and was last updated on 3/3/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgery125.061379ILLINOISNo
2208600000XSurgery01080567AINDIANANo
3208C00000XColon & Rectal Surgery01080567AINDIANANo
4208C00000XColon & Rectal Surgery036153198ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.