DR. KEVIN SCOTT COOPER (NPI# 1023267630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023267630 |
| Entity Type | Individual |
| Full Name | DR. KEVIN SCOTT COOPER |
| Credential | MD,MPH |
| Practice Address |
4305 Denny Ave Pascagoula MS 39581-5509 |
| Practice Telephone | 2287622044 |
| Practice Fax Number | 2287622064 |
| Mailing Telephone | 2287622044 |
| Mailing Fax Number | 2287622064 |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2010-10-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 13038 | MS | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144722620 | Kevin Cooper | Occupational Therapist | 350 Lafayette Ave Se Suite 500, Grand Rapids, MI 49503 | 2018-03-01 |
| 1003061391 | Kevin D. Cooper | Dietitian, Registered | 6270 Midway St, Sacramento, CA 95828-0907 | 2008-12-01 |
| 1003945957 | Kevin William Cooper | Chiropractor | 681 Main Street, Suite 204, Placerville, CA 95667 | 2007-03-05 |
| 1700961562 | Kevin Keller Cooper | Occupational Therapist | 2736 Rte 22, Essex, NY 12936 | 2006-10-27 |
| 1154391225 | Kevin Patrick Cooper | Dentist | 945 E Portage Ave, Sault Sainte Marie, MI 49783-2459 | 2006-01-23 |
| 1366077331 | Kevin J Cooper | Registered Nurse | 1100 Lake View Dr, Wausau, WI 54403-6799 | 2020-03-10 |
| 1578196291 | Kevin Cooper | Student in an Organized Health Care Education/Training Program | 105 Pleasant St, Concord, NH 03301-3852 | 2020-02-20 |
| 1851936462 | Kevin Donovan Cooper | Counselor | 1820 J St, Sacramento, CA 95811-3010 | 2019-11-07 |
| 1396394417 | Kevin Maynard Cooper | Nurse Practitioner | 555 Linn St, Allegan, MI 49010-1524 | 2019-09-11 |
| 1235782798 | Kevin Cooper | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2019-07-23 |
| Street Address |
4305 DENNY AVE |
| City | PASCAGOULA |
| State | MS |
| Zip Code | 39581-5509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356478564 | Cooper Family Medical Center Inc. | Clinic/Center | 4305 Denny Ave, Pascagoula, MS 39581-5509 | 2007-02-27 |
| 1427534221 | Serendipity Mph | Counselor | 4305 Denny Ave, Pascagoula, MS 39581-5509 | 2018-07-14 |
| 1003122821 | John C Elkins | Registered Nurse | 4305 Denny Ave, Pascagoula, MS 39581-5509 | 2010-08-31 |
| 1528380722 | Physician Advantage Urgent Care of Pascagoula LLC | Clinic/Center | 4305 Denny Ave, Pascagoula, MS 39581-5509 | 2010-02-16 |
| 1073846770 | Pascagoula Urgent Care Center LLC | Clinic/Center | 4305 Denny Ave, Pascagoula, MS 39581-5509 | 2009-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760945448 | Jacquelyn B Ellison | Nurse Practitioner | 4105 Hospital Road, Ste 103, Pascagoula, MS 39581 | 2019-04-10 |
| 1104346816 | Jennifer Ngoc Bui | Dentist | 4001 Denny Ave Suite 1, Pascagoula, MS 39581 | 2017-06-23 |
| 1528486289 | Thomas Stallworth | Nurse Practitioner | 4105 Hospital St Ste 104, Pascagoula, MS 39581 | 2014-03-31 |
| 1487919957 | Candace Noel Pendowski | Nurse Practitioner | 4211 Hospital St Suite 208, Pascagoula, MS 39581 | 2012-07-10 |
| 1649548892 | Kim M. Tumminello | Nurse Practitioner | 4253 Denny Avenue, Pascagoula, MS 39581 | 2011-12-02 |
| 1649547860 | Abrian Norell Flowers | Physical Therapist | 3537 Denny Avenue, Suite 115, Pascagoula, MS 39581 | 2011-11-17 |
| 1164724118 | Coast To Coast Rehab LLC | Rehabilitation Practitioner | 3537 Denny Ave, Suite 115, Pascagoula, MS 39581 | 2010-11-24 |
| 1740500958 | Joshua Eric Tucker | Physical Medicine & Rehabilitation | 4105 Hospital St Ste 112b, Pascagoula, MS 39581 | 2010-06-10 |
| 1720164916 | Vernon W Doster | Family Medicine | 3616 Hospital Street, Suite D, Pascagoula, MS 39581 | 2006-10-31 |
| 1841387727 | David Bruce Allen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4300 Hospital Rd, Suite 105, Pascagoula, MS 39581 | 2006-10-10 |
| Find all providers in zip 39581 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720164916 | Vernon W Doster | Family Medicine | 3616 Hospital Street, Suite D, Pascagoula, MS 39581 | 2006-10-31 |
| 1134155732 | Pascagoula Family Practice Clinic Pllc | Family Medicine | Ste 202, 4211 Hospital Street, Pascagoula, MS 39581-5310 | 2006-06-24 |
| 1538148762 | Frank Orla Axelsen | Family Medicine | Naval Station Pascagoula, Naval Branch Health Clin, Building 30, Wisconsin Loop, Pascagoula, MS 39595-0001 | 2006-01-16 |
| 1770585630 | Robert L Donald IIi | Family Medicine | 2819 Denny Ave, Pascagoula, MS 39581-5301 | 2005-08-11 |
| 1710989678 | Teresa A Williamson | Family Medicine | 2819 Denny Ave., Pascagoula, MS 39581-5320 | 2005-08-11 |
| 1508353384 | Baz Family Medical Clinic | Family Medicine | 4310 Chicot St, Pascagoula, MS 39581-4700 | 2018-04-17 |
| 1336674803 | Matthew Bosarge | Family Medicine | 2819 Denny Ave, Pascagoula, MS 39581-5301 | 2017-04-21 |
| 1609322361 | Hajra Cheema | Family Medicine | 2809 Denny Ave, Pascagoula, MS 39581-5301 | 2016-08-31 |
| 1558666149 | Painstop Spine Clinic, LLC | Family Medicine | 3003 Shortcut Rd, Pascagoula, MS 39567-1810 | 2011-01-13 |
| 1497808000 | Sheila Dillard | Family Medicine | 2809 Denny Ave, Pascagoula, MS 39581-5301 | 2007-01-18 |
| Find all providers in PASCAGOULA | ||||
| City | PASCAGOULA |
| Zip Code | 39581 |
Please comment or provide details below to improve the information on DR. KEVIN SCOTT COOPER.
| 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.