JUSTIN CHARLES COOPER (NPI# 1316339385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316339385 |
| Entity Type | Individual |
| Full Name | JUSTIN CHARLES COOPER |
| Credential | PA-C |
| Practice Address |
1800 Cooks Hill Rd Suite F Centralia WA 98531-9072 |
| Mailing Address |
Po Box 3360 Portland OR 97208-3360 |
| Practice Telephone | 3608276700 |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2017-02-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA60640498 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215545710 | Justin Michael Cooper | Dentist | 5008 S U St Ste 101a, Fort Smith, AR 72903-3613 | 2020-07-21 |
| 1417260654 | Justin Cooper | Physical Therapist | 505 S Aspen Ave, Broken Arrow, OK 74012-2296 | 2010-07-16 |
| 1447816152 | Justin Cooper | Clinical Nurse Specialist | 4527 N 16th St Ste 200, Phoenix, AZ 85016-5354 | 2019-05-17 |
| 1023370574 | Justin Levi Cooper | Pharmacist | 5709 W Amarillo Blvd, Amarillo, TX 79106-4003 | 2012-06-11 |
| 1245519768 | Justin Cooper | Dentist | 685 Royal Palm Beach Blvd, Suite 202, Royal Palm Beach, FL 33411-7642 | 2011-08-15 |
| 1710121959 | Justin R Cooper | Nurse Practitioner | 2400 17th St, Columbus, IN 47201-5351 | 2009-04-30 |
| 1568630630 | Justin Craig Cooper | Social Worker | 325 New Castle Road, Butler, PA 16001-5241 | 2008-02-12 |
| 1699898601 | Justin M. Cooper | Physical Medicine & Rehabilitation | 502 54th Ave E, Fife, WA 98424-2724 | 2007-04-06 |
| 1326101510 | Justin Cooper | Physical Therapist | 1407 York Rd, Suite 100, Lutherville, MD 21093-6097 | 2006-12-18 |
| 1477621357 | Justin Cooper | Physician Assistant | 1250 S Cedar Crest Blvd, Suite 200, Allentown, PA 18103-6224 | 2006-12-01 |
| Street Address |
1800 COOKS HILL RD SUITE F |
| City | CENTRALIA |
| State | WA |
| Zip Code | 98531-9072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649267196 | Loren D Cooper | Internal Medicine | 1800 Cooks Hill Rd, Suite B, Centralia, WA 98531-9072 | 2005-09-30 |
| 1093150914 | Sheila Ann Cichoski | Massage Therapist | 1800 Cooks Hill Rd, Suite A, Centralia, WA 98531-9072 | 2013-05-06 |
| 1437418175 | Lewis County Community Health Services | Clinic/Center | 1800 Cooks Hill Rd, Suite G, Centralia, WA 98531-9162 | 2012-05-15 |
| 1336430966 | Jacqueline Register | Massage Therapist | 1800 Cooks Hill Rd, Suite A, Centralia, WA 98531-9072 | 2011-04-30 |
| 1649574682 | Stephen Bentley | Massage Therapist | 1800 Cooks Hill Rd, Suite A, Centralia, WA 98531-9072 | 2011-01-05 |
| 1902115371 | Medical Massage Inc | Massage Therapist | 1800 Cooks Hill Rd, Suite A, Centralia, WA 98531-9072 | 2010-10-01 |
| 1194031138 | Stephanie Feuchter | Massage Therapist | 1800 Cooks Hill Rd, Suite A, Centralia, WA 98531-9072 | 2010-08-27 |
| 1912213943 | Linda Young | Massage Therapist | 1800 Cooks Hill Rd, Suite A, Centralia, WA 98531-9072 | 2010-08-27 |
| 1639485675 | Krista Hilleary | Massage Therapist | 1800 Cooks Hill Rd, Suite A, Centralia, WA 98531-9072 | 2010-08-27 |
| 1215248836 | Providence Health & Services - Washington | Urology | 1800 Cooks Hill Rd, Centralia, WA 98531-9072 | 2010-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306462205 | Jelisa Renae Thomas | Counselor | 3510 Steelhammer Ln, Centralia, WA 98531 | 2020-06-17 |
| 1205498607 | Jennifer Kristine Mcglynn Paterno | Counselor | 2428 W. Reynods Ave, Centralia, WA 98531 | 2019-07-05 |
| 1538646328 | Adam Jeffrey Moore | Counselor | 3510 Steelhammer Lane, Centralia, WA 98531 | 2018-07-24 |
| 1144706698 | Euijeong Kim | Occupational Therapist | Rehabilitation Therapies, 914 S. Scheuber Rd, Centralia, WA 98531 | 2018-07-18 |
| 1104315266 | Margaret Fowler Floyd | Registered Nurse | Centralia High School, 813 Eshom Road, Centralia, WA 98531 | 2018-05-04 |
| 1124545777 | Samantha Michelle Moody | Speech-Language Pathologist | Centralia School District, 2320 Borst Ave, Centralia, WA 98531 | 2017-08-24 |
| 1821520289 | Alexa Franks | Behavior Technician | 2428 West Reynolds Ave., Centralia, WA 98531 | 2017-04-03 |
| 1023559861 | Brandy Michelle Peterson | Counselor | 135 W. Main Steet, Centralia, WA 98531 | 2017-03-13 |
| 1841738812 | Graceful Healing Naturopathic | Naturopath | 219 N Tower Ave, Suite 304, Centralia, WA 98531 | 2017-02-09 |
| 1043681513 | Angela Naillon | Counselor | 2428 West Reynolds, Centralia, WA 98531 | 2015-10-09 |
| Find all providers in zip 98531 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356392245 | Karen Diane Hummel | Physician Assistant | 1011 W Broadway, Centralia, IL 62801-5309 | 2006-05-15 |
| 1710937305 | Heather Cushing | Physician Assistant | 1900 Cooks Hill Rd, Centralia, WA 98531-9073 | 2006-05-12 |
| 1942201330 | Herbert James Huston | Physician Assistant | 404 N Pleasant Ave, Centralia, IL 62801-3006 | 2005-08-09 |
| 1255963880 | Abigail Victoria Reed | Physician Assistant | 1720 Cooks Hill Rd, Centralia, WA 98531-9071 | 2020-02-11 |
| 1982269395 | Jennifer Green | Physician Assistant | 914 S Scheuber Rd, Centralia, WA 98531-9027 | 2019-05-01 |
| 1033698519 | Jennifer Ann Reuter | Physician Assistant | 914 S Scheuber Rd, Centralia, WA 98531 | 2018-08-07 |
| 1285143933 | Lukas Wesley Steffan | Physician Assistant | 1900 Cooks Hill Rd, Centralia, WA 98531-9073 | 2017-09-26 |
| 1780102970 | Mercedes Longton Converse | Physician Assistant | 914 S Scheuber Rd, Centralia, WA 98531-9027 | 2017-09-07 |
| 1235651720 | Jordan Wilson | Physician Assistant | 2428 W Reynolds Ave, Centralia, WA 98531 | 2017-07-17 |
| 1417496183 | Jessica Kathleen Hannigan | Physician Assistant | 1900 Cooks Hill Rd, Centralia, WA 98531-9073 | 2017-02-14 |
| Find all providers in CENTRALIA | ||||
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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.