COOPER CLINIC, PA (NPI# 1104832708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104832708 |
| Entity Type | Organization |
| Organization Name | COOPER CLINIC, PA |
| Practice Address |
4600 Towson Ave Ste 101-n Fort Smith AR 72901-7961 |
| Mailing Address |
Po Box 3528 Fort Smith AR 72913-3528 |
| Practice Telephone | 4792746900 |
| Practice Fax Number | 4796483951 |
| Mailing Telephone | 4792742000 |
| Mailing Fax Number | 4792742194 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2015-09-01 |
| Authorized Official Name | CURTIS D RALSTON (CEO) |
| Authorized Official Telephone | 4792742000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | MC-0254 | AR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 136194002 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740201474 | Cooper Clinic, Pa | Clinic/Center | 9101 Jenny Lind Rd, Fort Smith, AR 72908-9142 | 2006-07-21 |
| 1386011211 | Cooper Clinic, Pa | Physical Therapist | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2015-08-26 |
| 1316336761 | Cooper Clinic, Pa | Pharmacist | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2015-01-22 |
| 1073698478 | Cooper Clinic, Pa | Clinical Medical Laboratory | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2006-10-25 |
| 1013923614 | Cooper Clinic, Pa | Clinic/Center | 2521 Alma Hwy, Van Buren, AR 72956-5015 | 2006-08-01 |
| 1922014521 | Cooper Clinic, Pa | Clinic/Center | 1801 E Main St, Charleston, AR 72933-9254 | 2006-08-01 |
| 1831105436 | Cooper Clinic, Pa | Clinic/Center | 4300 Regions Park Dr, Fort Smith, AR 72916-9373 | 2006-08-01 |
| 1316961782 | Cooper Clinic, Pa | Internal Medicine | 7301 Rogers Ave, Fort Smith, AR 72903-4100 | 2006-07-27 |
| 1235151960 | Cooper Clinic, Pa | Family Medicine | 20 N Aster St, Greenwood, AR 72936-3145 | 2006-07-24 |
| 1366464075 | Cooper Clinic, Pa | Clinic/Center | 9616 Rogers Ave, Fort Smith, AR 72903-5769 | 2006-07-24 |
| Street Address |
4600 TOWSON AVE STE 101-N |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72901-7961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972582260 | Danny Silver | Emergency Medicine | 4600 Towson Ave, Suite 101-w-1, Fort Smith, AR 72901-7961 | 2006-01-13 |
| 1598006538 | Thomas Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 4600 Towson Ave, Suite 101-w2, Fort Smith, AR 72901-7961 | 2013-03-14 |
| 1013283290 | Oxygens Urgent Care Center P.a. | Clinic/Center | 4600 Towson Ave, Suite 101-w-1, Fort Smith, AR 72901-7961 | 2012-04-01 |
| 1336417336 | Arkansas Pain and Wellness, LLC | Anesthesiology | 4600 Towson Ave, Suite 101-w2, Fort Smith, AR 72901-7961 | 2011-12-05 |
| 1538491360 | Adam L Sewell | Anesthesiology | 4600 Towson Ave, Suite 101-w2, Fort Smith, AR 72901-7961 | 2010-02-04 |
| 1760625305 | Jennifer Lynn Sewell | Nurse Anesthetist, Certified Registered | 4600 Towson Ave, 101-w2, Fort Smith, AR 72901-7961 | 2009-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922627249 | Vaibhav S Desai | Student in an Organized Health Care Education/Training Program | Family Medicine Uams-west, 612 South 12th St., Fort Smith, AR 72901 | 2020-04-16 |
| 1689136475 | Prudence Nassem Ipaye-adebiyi | Student in an Organized Health Care Education/Training Program | Family Medicine ; Uams-west, 612 South 12th St., Fort Smith, AR 72901 | 2019-04-02 |
| 1134608961 | Baptist Health Services | Otolaryngology | 520 Towson Ave, Suite A, Fort Smith, AR 72901 | 2018-08-13 |
| 1316426125 | Baptist Health Services | Internal Medicine | 1500 Dodson Ave Ste 60, Fort Smith, AR 72901 | 2018-08-13 |
| 1396224101 | Baptist Health Services | Internal Medicine | 1001 Towson Ave Ste 100, Fort Smith, AR 72901 | 2018-08-13 |
| 1164901914 | Baptist Health Services | Internal Medicine | 1001 Towson Ave Ste 200, Fort Smith, AR 72901 | 2018-08-13 |
| 1942789755 | Baptist Health Services | Counselor | 1001 Towson Ave Ste 500, Fort Smith, AR 72901 | 2018-08-13 |
| 1669951315 | Baptist Health Services | Family Medicine | 1500 Dodson Ave Ste 175, Fort Smith, AR 72901 | 2018-08-13 |
| 1508345265 | Baptist Health Services | Internal Medicine | 1500 Dodson Ave Ste 180, Fort Smith, AR 72901 | 2018-08-13 |
| 1326527086 | Baptist Health Services | Family Medicine | 1500 Dodson Ave Ste 195, Fort Smith, AR 72901 | 2018-08-13 |
| Find all providers in zip 72901 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982715074 | Little Rock Spine & Joint Clinic | Clinic/Center | 1401 South J. Street, Fort Smith, AR 72901-5158 | 2006-08-31 |
| 1609898311 | Cooper Clinic Pa | Clinic/Center | 7306 Rogers Ave, Fort Smith, AR 72903-4164 | 2006-07-24 |
| 1740201474 | Cooper Clinic, Pa | Clinic/Center | 9101 Jenny Lind Rd, Fort Smith, AR 72908-9142 | 2006-07-21 |
| 1467493825 | River Valley Pediatrics LLC | Clinic/Center | 1513 Jenny Lind Rd, Fort Smith, AR 72901-5646 | 2006-06-09 |
| 1215489604 | Nassri Pediatrics and Pulmonology, LLC | Clinic/Center | 9207 Highway 71 S, Suite 9, Fort Smith, AR 72916-9117 | 2016-11-01 |
| 1932586260 | Arkansas Liver and Gastroenterology Pa | Clinic/Center | 3416 Old Greenwood Rd, Fort Smith, AR 72903-5462 | 2015-05-06 |
| 1033528518 | Dr Bill Keating, Od Pa | Clinic/Center | 8301 Rogers Ave, Doctor's Office, Fort Smith, AR 72903-5236 | 2014-08-08 |
| 1982028668 | Achieve Center for Therapy, Pllc | Clinic/Center | 2900 Old Greenwood Rd, Suite I, Fort Smith, AR 72903-4550 | 2014-02-14 |
| 1801172937 | Amy L Plunkett Dnp Apn Pllc | Clinic/Center | 2713 S 74th St Ste 301, Mercy Tower, Fort Smith, AR 72903-5155 | 2011-11-03 |
| 1336337336 | Imwell Health | Clinic/Center | 616 S 17th St, Fort Smith, AR 72901-4700 | 2007-10-04 |
| Find all providers in FORT SMITH | ||||
| City | FORT SMITH |
| Zip Code | 72901 |
Please comment or provide details below to improve the information on COOPER CLINIC, PA.
| 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.