TIMOTHY R COOPER (NPI# 1033192943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033192943 |
| Entity Type | Individual |
| Full Name | TIMOTHY R COOPER |
| Credential | MD |
| Practice Address |
2845 Greenbrier Rd Ste 340 Green Bay WI 54311-6519 |
| Mailing Address |
164 N Broadway 2845 Greenbrier Rd Ste 340 Green Bay WI 54303-2728 |
| Practice Telephone | 9202888380 |
| Practice Fax Number | 9202888385 |
| Mailing Telephone | 9209654065 |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2016-01-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 33935-020 | WI | Allopathic & Osteopathic Physicians |
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
33935 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 104896578 | 05 | |
| WI | 32037400 | 05 | |
| WI | RAILROAD | P00355798 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952940520 | Timothy Allen Cooper | Psychologist | 3331 Sw Hamilton Ct, Portland, OR 97239-1256 | 2019-12-31 |
| 1003241068 | Timothy Sterling Cooper | Chiropractor | 2480 Browncroft Blvd Ste 118, Rochester, NY 14625 | 2013-09-10 |
| 1003860891 | Timothy E Cooper | Family Medicine | 330 Pomfret Street, Putnam, CT 06260 | 2006-05-19 |
| 1366427767 | Timothy Lee Cooper | Physician Assistant | 105 Church, Box 40, Conrad, IA 50621-0040 | 2005-12-08 |
| 1801317482 | Timothy Cooper | Student in an Organized Health Care Education/Training Program | 3600 Forbes Ave Ste 140, Pittsburgh, PA 15213-3410 | 2017-07-04 |
| 1548640923 | Timothy Cooper | Psychiatry & Neurology | 550 First Avenue, Nyu Langone Medical Center, New York, NY 10016 | 2015-06-01 |
| 1225456296 | Timothy Chung Cooper | Internal Medicine | 16985 W Bluemound Rd, Brookfield, WI 53005 | 2014-04-06 |
| 1023139961 | Timothy Cooper | Pediatrics | 1200 Enclave Pkwy, Houston, TX 77077-1764 | 2007-04-02 |
| 1417094749 | Timothy Dale Cooper | Dentist | 825 E Main St, Manchester, IA 52057 | 2007-01-30 |
| 1487756607 | Timothy J Cooper | Dentist | 1085 Wilshire Blvd, Stevens Point, WI 54481-2255 | 2006-09-01 |
| Street Address |
2845 GREENBRIER RD STE 340 |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54311-6519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467615450 | Xinqian Chen | Physical Medicine & Rehabilitation | 2845 Greenbrier Rd Ste 340, Green Bay, WI 54311-6519 | 2008-07-09 |
| 1619905577 | Melissa S Marquart-carlson | Clinical Neuropsychologist | 2845 Greenbrier Rd Ste 340, Green Bay, WI 54311-6519 | 2006-06-29 |
| 1366470551 | Danzhu Guo | Physical Medicine & Rehabilitation | 2845 Greenbrier Rd Ste 340, Green Bay, WI 54311-6519 | 2006-06-28 |
| 1104854462 | Ahmet Dervish | Pain Medicine | 2845 Greenbrier Rd Ste 340, Green Bay, WI 54311-6519 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295333847 | Karen Ginnow | Pharmacist | Walmart #1908, 2292 Main St, Green Bay, WI 54311 | 2020-10-15 |
| 1639786551 | Maggie Hall | Dental Hygienist | 2633 Development Dr. Ste 40, Green Bay, WI 54311 | 2020-09-24 |
| 1295370807 | Jennifer Marie Arendt | Technician | 2970 Mossy Oak Cir #39, Green Bay, WI 54311 | 2019-11-07 |
| 1518508803 | Cheryl Ann Johnson | Specialist | 830 Edgewood Dr., Green Bay, WI 54311 | 2019-10-08 |
| 1124670898 | Robert H Wagner Family Dentist S.c. | Dentist | 2830 Curry Court, Suite 1, Green Bay, WI 54311 | 2019-07-12 |
| 1821659624 | The Salvation Army | Counselor | The Salvation Army Ray & Joan Kroc Center, 1315 Lime Kiln Road, Green Bay, WI 54311 | 2019-06-24 |
| 1578052866 | Matthew Robert Wagner | Dentist | 2830 Curry Ln #1, Green Bay, WI 54311 | 2018-05-02 |
| 1861916769 | Atlas Spinal Care | Chiropractor | 2069 Central Ct, Suite 11, Green Bay, WI 54311 | 2017-08-01 |
| 1851844161 | Green Bay Family Dental LLC | Dentist | 2609 Development Dr., Green Bay, WI 54311 | 2016-08-03 |
| 1710382809 | Betsy Hoida | Pharmacist | 2485 Greenbrier Rd., Green Bay, WI 54311 | 2014-10-31 |
| Find all providers in zip 54311 | ||||
| Taxonomy Code | 208VP0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Pain Medicine |
| Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
| Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598201964 | Baycare Clinic, LLP | Pain Medicine | 2411 Holmgren Way, Green Bay, WI 54304-5224 | 2017-01-10 |
| 1578706255 | Brett Jonathan Malo | Pain Medicine | 3021 Voyager Dr, Green Bay, WI 54311-8303 | 2009-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720574288 | Wisconsin Pain Management Specialists, LLC | Pain Medicine | 1050 S. Milwaukee Avenue, Suite 102, Burlington, WI 53105 | 2018-07-09 |
| 1427430602 | Zezenya Health Care S.c. | Pain Medicine | 5114 S 27th St # 763, Milwaukee, WI 53221 | 2015-06-24 |
| 1023307105 | Peggy Young Kim | Pain Medicine | 215 S Century Ave Apt 113, Waunakee, WI 53597-1249 | 2011-03-29 |
| 1003889130 | Milwaukee Pain Treatment Services | Pain Medicine | 2300 N. Mayfaird Rd, Suite 425, Milwaukee, WI 53226 | 2006-02-09 |
| 1255699450 | Kwadwo Achampong | Pain Medicine | 700 S Park St Ste A, Madison, WI 53715-1830 | 2012-04-25 |
| 1235417486 | Integrated Pain and Health Center, Sc | Pain Medicine | 5261 N Port Washington Rd, Suite 101, Glendale, WI 53217-4903 | 2011-07-21 |
| 1972835551 | Holistic Pain Management & Wellness Center Sc | Pain Medicine | 10945 N Port Washington Rd, Ste 100, Mequon, WI 53092-5078 | 2010-02-05 |
| 1851528624 | Keth Mackenzie Pride | Pain Medicine | Uw Hospital and Clinics, 600 Highland Ave, H4/831, Madison, WI 53792 | 2009-06-18 |
| 1497910319 | Thomas J Faull | Pain Medicine | 700 S Park St, Suite A, Madison, WI 53715-1830 | 2008-07-21 |
| 1861665747 | Michael Jung | Pain Medicine | 4131 W Loomis Rd, Ste 300, Greenfield, WI 53221-2057 | 2008-04-10 |
| Find all providers with the same taxonomy | ||||
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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.