JAC A. COOPER, JR. M.D. – NPI #1144583287
Colon & Rectal Surgery

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.

Health Care Provider Taxonomy Code for Colon & Rectal Surgery

JAC COOPER, JR. is a colon & rectal surgeon located in SPRINGFIELD, IL. NPPES has assigned the NPI number 1144583287 to JAC COOPER, JR. on June 22, 2012. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208C00000X from the Health Care Provider Taxonomy code set, which is classified as Colon & Rectal Surgery.

The NPI profile was last updated on Nov 11, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JAC COOPER, JR. below.

NPI Profile for
JAC A. COOPER, JR.

NPI Number
1144583287
Enumeration Date

(about 14 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JAC A. COOPER, JR.
Credentials
M.D.
Primary location
900 N 1ST ST
SPRINGFIELD, IL 62702-3749
Phone: (217) 528-7541 Fax:
1 Other location(s):
210 Saint Joseph Dr
Bloomington, IL 61701-3636
Phone: (309) 684-9100
Fax: (390) 684-9112
Mailing address
PO BOX 19248
SPRINGFIELD, IL 62794-9248
Phone: (217) 528-7541 Fax:
Sole Proprietor
No
Updated
Certification Date
Nov 11, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208C00000X
- Colon & Rectal Surgery (Primary)		 IN 01080567A
208600000X
- Surgery		 IL 125.061379

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
INDIANA UNIVERSITY SCHOOL OF MEDICINE - Graduated 2012
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JAC COOPER, JR. is affiliated with the following medical group(s):
  • HOSPITAL
    • MEMORIAL MEDICAL CENTER
      701 N FIRST ST
      SPRINGFIELD, IL 62702
    • ST JOHNS HOSPITAL
      800 E CARPENTER ST
      SPRINGFIELD, IL 62769

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Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.