DR. BRIAN EZAR COOPER (NPI# 1073673166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073673166 |
| Entity Type | Individual |
| Full Name | DR. BRIAN EZAR COOPER |
| Credential | M.D. |
| Practice Address |
Corner of Rt N7 and N12 Fort Defiance AZ 86504-0649 |
| Mailing Address |
Corner of Rt N7 and N12 P.o. Box 649 Fort Defiance AZ 86504-0649 |
| Practice Telephone | 9287298600 |
| Practice Fax Number | 9287298624 |
| Mailing Telephone | 9287298600 |
| Mailing Fax Number | 9287298624 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 053582 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780143255 | Brian Cooper | Behavioral Analyst | 211 42nd St Apt 2, Newport Beach, CA 92663-1501 | 2019-03-14 |
| 1285140186 | Brian Cooper | Social Worker | 510 Duxbury Ct Apt A, Safety Harbor, FL 34695-4316 | 2017-12-15 |
| 1194266627 | Brian Cooper I | Home Health Aide | 9008 Branchview Dr, Fort Washington, MD 20744 | 2017-03-16 |
| 1265772644 | Brian Cooper | Occupational Therapy Assistant | 1300 Nw 99th Ave, Pembroke Pines, FL 33024-4345 | 2013-02-22 |
| 1487918090 | Brian Cooper | Acupuncturist | 3516 S 9th St Unit E, Tacoma, WA 98405-2227 | 2012-06-28 |
| 1891833513 | Brian Daniel Cooper | Occupational Therapist | 22333 Blackburn St, Saint Clair Shores, MI 48080-1307 | 2007-02-02 |
| 1134286792 | Brian Cooper | Internal Medicine | 5243 Little Debbie Parkway, Suite 111, Ooltewah, TN 37363 | 2007-01-03 |
| 1619394673 | Brian Cooper | Counselor | 1133 Coloma Way Ste C, Roseville, CA 95661-4480 | 2014-03-27 |
| 1033456181 | Brian Keith Cooper | Pharmacist | 1451 Sebastian Blvd, Sebastian, FL 32958-5166 | 2013-01-09 |
| 1801130794 | Brian David Cooper | Mechanotherapist | 7450 Heritage Village Plz, Suite 201, Gainesville, VA 20155-3090 | 2012-11-16 |
| Street Address |
CORNER OF RT N7 AND N12 |
| City | FORT DEFIANCE |
| State | AZ |
| Zip Code | 86504-0649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807664 | Clifford Charles | Pharmacist | Corners of Route 7&12, Fort Defiance, AZ 86504 | 2020-10-06 |
| 1720605207 | Christopher A Will | Registered Nurse | 2126-1 Shandiin Circle, Fort Defiance, AZ 86504 | 2020-06-30 |
| 1750904207 | Crystal Salaz | Respiratory Therapist, Registered | Corner of Roue N12 and N7, Fort Defiance, AZ 86504 | 2020-05-19 |
| 1003451600 | Rebecca Reeve | Pharmacist | Tsehootsooi Medical Center, Corner of Indian Route 7 and 12, Fort Defiance, AZ 86504 | 2019-11-07 |
| 1851947485 | David Glen Webb | Pharmacist | Hwy 12 Nr 110, Fort Defiance, AZ 86504 | 2019-08-09 |
| 1952963647 | Eukerison Bobby Tsinajinie | Counselor | .25 Miles S Fieldhouse Ra 6905, Fort Defiance, AZ 86504 | 2019-07-02 |
| 1770145567 | Joann Tso I | Counselor | 1/4 Mile Ne of Ft. Defiance Fieldhouse, Ft. Defiance, AZ 86504 | 2019-07-02 |
| 1174185961 | James Leslie | Counselor | 1/4 Mile South of Ft Defiance Fieldhouse Ra#6905, Ft Defiance, AZ 86504 | 2019-07-02 |
| 1184192163 | Miranda Frances Blatchford | Social Worker | .5 Miles Sw of The Fd Field House, Bldg #6905, Fort Defiance, AZ 86504 | 2018-11-07 |
| 1477030914 | Michelle Rosario | Dietitian, Registered | Fort Defiance Indian Hospital Board, Inc., Corner of Route N12 and N7, Fort Defiance, AZ 86504 | 2018-07-27 |
| Find all providers in zip 86504 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023183241 | Tyrone Harold Walker | Emergency Medicine | Corner of Rte N 12 and N 7, Fort Defiance, AZ 86504 | 2006-11-22 |
| 1710978176 | Frank P Ammesmaki | Emergency Medicine | Corner of Route 12 and Route 7, Emergency Department, Fort Defiance, AZ 86504-0649 | 2005-11-03 |
| 1376912618 | Shannon Anderson | Emergency Medicine | Corner of Route N12 and N7, Fort Defiance, AZ 86504 | 2015-09-16 |
| 1558749309 | Jordan Cohen | Emergency Medicine | Corner of Route N12 and N7, Fort Defiance, AZ 86504-0649 | 2015-05-13 |
| 1255745113 | Elyssa Berg | Emergency Medicine | Corner of Route N12 and N7, Fort Defiance, AZ 86504 | 2014-06-18 |
| 1851702054 | Alexander Scott Whelan | Emergency Medicine | Corner of Routes N12 & N7, Fort Defiance, AZ 86504 | 2014-05-12 |
| 1649699125 | Ryan Mason | Emergency Medicine | Corner of Route N12 and N7, Fort Defiance, AZ 86504 | 2014-04-10 |
| 1669523890 | Barry Edwards | Emergency Medicine | Corner of Route N12 and N7, Fort Defiance, AZ 86504 | 2007-01-15 |
| 1003963265 | Romulo Laureta Parungao | Emergency Medicine | Corner of Route N12 and N7, Fort Defiance, AZ 86504 | 2007-01-03 |
| 1427119502 | Charles Adams Blakely | Emergency Medicine | Fort Defiance Indian Hospital, Corner Route N7 and N12, Fort Defiance, AZ 86504 | 2006-12-13 |
| Find all providers in FORT DEFIANCE | ||||
| City | FORT DEFIANCE |
| Zip Code | 86504 |
Please comment or provide details below to improve the information on DR. BRIAN EZAR 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.