COOPER LOOMIS TERRY


Address: 497 Azalea Dr, Suite 102, Oxford, MS 38655-7905
Phone: 6625132000

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
MS 00117049 05

Office Location

Street Address 497 AZALEA DR
SUITE 102
City OXFORD
State MS
Zip Code 38655-7905

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207XX0005X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Sports Medicine

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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City OXFORD
Zip Code 38655

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Dataset Information

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.

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