RANDY I COOPER


Address: 2620 N 3rd St, Suite 100, Phoenix, AZ 85004-1153
Phone: 6022774429

RANDY I COOPER (NPI# 1154316495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154316495
Entity Type Individual
Full Name RANDY I COOPER
Credential M.D.
Practice Address 2620 N 3rd St
Suite 100
Phoenix
AZ 85004-1153
Mailing Address 2149 E Warner Rd
Suite 101
Tempe
AZ 85284-3494
Practice Telephone 6022774429
Practice Fax Number 6022650271
Mailing Telephone 4806106100
Enumeration Date 2005-09-13
Last Update Date 2012-06-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RN0300X Internal Medicine
Specialization: Nephrology
30432 AZ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AZ 722464 05

Other Providers RANDY COOPER

NPI Name Taxonomy Address Enumeration
1083612352 Randy Wilson Cooper Surgery 818 Saint Sebastian Way, Suite 408, Augusta, GA 30901-2651 2005-07-12
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Office Location

Street Address 2620 N 3RD ST
SUITE 100
City PHOENIX
State AZ
Zip Code 85004-1153

Providers in the same location

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1902363757 Eclipse Anesthesia LLC Anesthesiology 2620 N 3rd St, Phoenix, AZ 85004-1153 2019-02-28
1982149977 Smi Imaging, LLC Clinic/Center 2620 N 3rd St, Suite 101, Phoenix, AZ 85004-1153 2016-12-29
1336409200 Smi Imaging LLC Radiology 2620 N 3rd St, Suite 102, Phoenix, AZ 85004-1153 2012-05-24
1235422247 Joseph James Morris Anesthesiology 2620 N 3rd St, Phoenix, AZ 85004-1153 2011-05-24
1942471925 Select Physical Therapy Holdings Inc Durable Medical Equipment & Medical Supplies 2620 N 3rd St, Suite 101, Phoenix, AZ 85004-1153 2008-03-18
1174722458 Sante Personalized Preventive Healthcare, Pllc Internal Medicine 2620 N 3rd St, Suite 103, Phoenix, AZ 85004-1153 2007-07-16
1083651210 Aslam Pervez Internal Medicine 2620 N 3rd St, Suite 100, Phoenix, AZ 85004-1153 2006-05-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396360749 Ulivvo Inc. Nurse Practitioner 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 2020-06-11
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1740775303 Alexander L. Shaw Dentist 201 N Central Ave. #1490, Phoenix, AZ 85004 2018-06-26
1497267868 Michael Dimoff Registered Nurse 1850 N. Central Ave, Ste 1600, Phoenix, AZ 85004 2017-10-25
1093231433 Ezequiel Bautista Music Therapist 2702 N 3rd Street, Suite 1000, Phoenix, AZ 85004 2017-08-17
1841742442 Stacy Maahs Nurse Practitioner 500 N 3rd St Ste 155, Phoenix, AZ 85004 2016-10-29
1538537246 Jessica Lindsay Karlson Pharmacist 2302 N Central Ave Ste 7, Phoenix, AZ 85004 2015-09-11
1689059883 Yvette's Hope Foundation Home Health 40 N. Central Ave. Ste. 1400, Phoenix, AZ 85004 2015-07-29
1881082790 Patricia Russell Specialist/Technologist 60 E. Vernon Ave, Arcadia Therapy Services, Phoenix, AZ 85004 2014-12-30
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Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326515677 Mind Body Kidney Internal Medicine 4340 E Indian School Rd Ste 21-408, Phoenix, AZ 85018-5360 2018-10-25
1528427317 Akdhc, LLC Internal Medicine 4901 W Mcdowell Rd, Phoenix, AZ 85035 2016-02-22
1801263033 Akdhc, LLC Internal Medicine 2545 E. Thomas Rd., Suite 110/120, Phoenix, AZ 85016-7941 2015-08-24
1861889859 Akdhc, LLC Internal Medicine 3815 E Bell Rd Ste 3500, Phoenix, AZ 85032-2165 2015-04-17
1730592171 Joon Soo Kim Internal Medicine 9305 W Thomas Rd Ste 570, Phoenix, AZ 85037-3358 2014-06-03
1396064663 Akdhc, LLC Internal Medicine 4524 N Maryvale Parkway, Akdhc, LLC - Maryvale, Ste 160, Phoenix, AZ 85031 2010-05-25
1790915684 Bassam Syed Shakil Internal Medicine 5040 N 15th Ave Ste 107, Phoenix, AZ 85015-3329 2009-07-25
1336338789 Akdhc, LLC Internal Medicine 15255 N 40th St Bldg 5, Phoenix, AZ 85032-4624 2007-10-22
1861681298 Akdhc, LLC Internal Medicine 3003 N Central Ave Ste T100, Phoenix, AZ 85012-2929 2007-10-22
1801084835 Akdhc, LLC Internal Medicine 7725 N 43rd Ave Ste 411, Phoenix, AZ 85051-5771 2007-10-03
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City PHOENIX
Zip Code 85004

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Dataset Information

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.

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