WADE MICHAEL COOPER (NPI# 1124007208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124007208 |
| Entity Type | Individual |
| Full Name | WADE MICHAEL COOPER |
| Credential | DO |
| Practice Address |
325 East Eisenhower Suite 100 Ann Arbor MI 48108-5744 |
| Mailing Address |
3621 S State St Ann Arbor MI 48108-1633 |
| Practice Telephone | 7347635459 |
| Mailing Telephone | 7346475299 |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2019-12-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
5101014529 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4762467 | 05 |
| Street Address |
325 EAST EISENHOWER SUITE 100 |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48108-5744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588119168 | Evan Lee Smith | Psychologist | 325 East Eisenhower, Suite 300, Ann Arbor, MI 48108-5744 | 2016-08-24 |
| 1073916391 | Sarah Whitney Laponsa | Physician Assistant | 325 East Eisenhower, Suite 100, Ann Arbor, MI 48108-3364 | 2014-10-01 |
| 1447664156 | Moayad Saleh Alabdulkarim | Internal Medicine | 325 East Eisenhower, Suite 100, Ann Arbor, MI 48108 | 2014-06-20 |
| 1073926861 | Douglas Stanley Verrill | Internal Medicine | 325 East Eisenhower, Suite 100, Ann Arbor, MI 48108-5744 | 2014-06-09 |
| 1952713125 | Shahd Haidar | Physical Medicine & Rehabilitation | 325 East Eisenhower, Suite 100, Ann Arbor, MI 48108-5744 | 2014-05-22 |
| 1093135410 | Reina Nakamura | Physical Medicine & Rehabilitation | 325 East Eisenhower, Suite 100, Ann Arbor, MI 48108-5744 | 2014-04-24 |
| 1295155828 | Braden Matthew Boji | Physical Medicine & Rehabilitation | 325 East Eisenhower, Suite 100, Ann Arbor, MI 48108-5744 | 2014-04-22 |
| 1518386671 | Mary Megan Schmidt | Physical Medicine & Rehabilitation | 325 East Eisenhower, Suite 100, Ann Arbor, MI 48108-5744 | 2014-04-15 |
| 1861828568 | Nathan Rhys Farlow | Physical Medicine & Rehabilitation | 325 East Eisenhower, Suite 100, Ann Arbor, MI 48108-3364 | 2013-09-25 |
| 1396189643 | Maryam A Berri | Physical Medicine & Rehabilitation | 325 East Eisenhower, Suite 100, Ann Arbor, MI 48108-5744 | 2013-04-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750999249 | Creating Brighter Futures | Behavioral Analyst | 4201 Varsity Drive, Ste. C, Ann Arbor, MI 48108 | 2020-07-21 |
| 1326506320 | Michelle Bishop | Behavior Technician | 4935 Birch Hollow Dr, Ann Arbor, MI 48108 | 2019-03-08 |
| 1407326077 | Alexis Ewald | Behavior Technician | 2770 Carpenter Rd., Ann Arbor, MI 48108 | 2018-11-27 |
| 1003308511 | Ann Arbor Dental Specialists | Dentist | 3100 Eisenhower Parkway, Suite 200, Ann Arbor, MI 48108 | 2018-05-31 |
| 1144719295 | Jonathan Parker Etter | Physical Medicine & Rehabilitation | 325 E. Eisenhower, Suite 300, Spc 5744, Ann Arbor, MI 48108 | 2018-05-04 |
| 1427555895 | Blossom Health Services LLC | Social Worker | 2156 Glencoe Hills Dr Apt 12, Ann Arbor, MI 48108 | 2018-04-11 |
| 1669974580 | Camron Anthony Moorehead | Occupational Therapist | 400 E. Eisenhower Parkway Bldg 2, Ste A, Ann Arbor, MI 48108 | 2018-03-07 |
| 1396247862 | Crystal Ann D'agostino | Health Educator | 1169 Oak Valley Drive, Ann Arbor, MI 48108 | 2018-03-01 |
| 1538671250 | Miea Moon | Psychologist | 3200 E Eisenhower Parkway, Moriah Hall, Ann Arbor, MI 48108 | 2017-11-03 |
| 1003355546 | Rachael Connolly | Behavior Technician | 4201 Varsity Drive Suite C, Ann Arbor, MI 48108 | 2017-02-16 |
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| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598079568 | Sunil G Nair | Psychiatry & Neurology | 1500 E Medical Center Dr Spc 5322, Department of Neurology, Ann Arbor, MI 48109-5322 | 2010-08-02 |
| 1568626976 | Srilatha Thadur | Psychiatry & Neurology | 2301 S Huron Pkwy Ste 1d, Ann Arbor, MI 48104-5133 | 2008-07-15 |
| 1871616995 | Kenneth Lyman Casey | Psychiatry & Neurology | 2775 Heather Way, Ann Arbor, MI 48104-2852 | 2007-04-06 |
| 1770596470 | Ann A Little | Psychiatry & Neurology | 1500east Medical Center Dr, 1st Floor Taubman Ctr Recp C, Ann Arbor, MI 48109-5322 | 2006-08-14 |
| 1497748537 | Henry Lauris Paulson | Psychiatry & Neurology | 4260 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2005-08-24 |
| 1669827028 | William Benjamin Farnsworth | Psychiatry & Neurology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2016-05-04 |
| 1568825420 | Bradley Thomas Nix | Psychiatry & Neurology | 1500 E. Medical Center Drive, F2597 University Hospital South, Ann Arbor, MI 48109 | 2016-03-29 |
| 1356721930 | Jennifer Marie Arnold | Psychiatry & Neurology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2015-06-09 |
| 1275911133 | Jason Paul Chua | Psychiatry & Neurology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2015-05-12 |
| 1720466683 | Bridget Anastasia Cornett | Psychiatry & Neurology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2015-05-12 |
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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.