DR. TIMOTHY CHUNG COOPER (NPI# 1225456296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225456296 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY CHUNG COOPER |
| Credential | M.D. |
| Practice Address |
16985 W Bluemound Rd Brookfield WI 53005 |
| Mailing Address |
16985 W Bluemound Rd Brookfield WI 53005-5909 |
| Practice Telephone | 2626418400 |
| Enumeration Date | 2014-04-06 |
| Last Update Date | 2019-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 69423-20 | WI | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 036142168 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 100080432 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2160 S 1st Ave, Maywood, IL 601533328 | 7082022707 | 7082027359 |
| 1653 W Congress Pkwy Ste 10, Chicago, IL 606123833 | 3129424200 |
| 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 |
| 1033192943 | Timothy R Cooper | Anesthesiology | 2845 Greenbrier Rd Ste 340, Green Bay, WI 54311-6519 | 2005-11-23 |
| 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 |
| 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 |
16985 W BLUEMOUND RD |
| City | BROOKFIELD |
| State | WI |
| Zip Code | 53005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649233255 | Niel A Johnson | Emergency Medicine | 16985 W Bluemound Rd, Brookfield, WI 53005-5909 | 2006-04-07 |
| 1831701150 | Dawn Marie Petrovick | Massage Therapist | 16985 W Bluemound Rd, Brookfield, WI 53005-5909 | 2020-08-18 |
| 1760018246 | Richard Harold Labott | Pharmacist | 16985 W Bluemound Rd, Brookfield, WI 53005-5909 | 2020-03-17 |
| 1780242321 | Patti Lynn Hahn | Physical Therapist | 16985 W Bluemound Rd, Brookfield, WI 53005-5909 | 2019-05-30 |
| 1710468251 | Mary Drosen | Physical Therapist | 16985 W Bluemound Rd, Brookfield, WI 53005-5909 | 2018-08-23 |
| 1770029290 | Daryl Schmidt | Physical Therapist | 16985 W Bluemound Rd, Brookfield, WI 53005-5909 | 2017-01-08 |
| 1093170144 | Robert W Reinke | Specialist/Technologist | 16985 W Bluemound Rd, Brookfield, WI 53005-5909 | 2015-12-16 |
| 1518353283 | Diana Vu | Pediatrics | 16985 W Bluemound Rd, Brookfield, WI 53005 | 2015-04-09 |
| 1962896316 | Trent J Meltzer | Pediatrics | 16985 W Bluemound Rd, Brookfield, WI 53005-5909 | 2015-03-24 |
| 1790177681 | Jessica Ferge | Physician Assistant | 16985 W Bluemound Rd, Brookfield, WI 53005-5909 | 2015-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154937621 | Nsk Precision Healing & Wellness | Acupuncturist | 17040 W. Greenfield Ave #6, Brookfield, WI 53005 | 2020-09-21 |
| 1033772124 | Dbt Consultants LLC | Social Worker | 200 S. Executive Drive, Ste. 101, Brookfield, WI 53005 | 2019-04-15 |
| 1780142588 | Ashley Wing | Registered Nurse | 405 Bishops Way, Apt 555, Brookfield, WI 53005 | 2019-03-11 |
| 1407370398 | Tombolo, LLC | Clinic/Center | 12545 W. Burleigh Rd., Suite 10, Brookfield, WI 53005 | 2017-08-01 |
| 1720509045 | Rss William Conner LLC | Dentist | 15455 W Bluemound Rd Ste 250, Brookfield, WI 53005 | 2017-06-28 |
| 1669926598 | Mackenzie Rondeau | Physical Therapist | 1905 N Calhoun Rd Ste 105, Brookfield, WI 53005 | 2016-08-09 |
| 1699159319 | Charles Alan Kass | Dentist | 12720 W. North Avenue, Brookfield, WI 53005 | 2015-07-13 |
| 1164804274 | Mary-catherine Nimphius | Counselor | 250 S. Sunny Slope Rd, #128, Brookfield, WI 53005 | 2015-06-25 |
| 1528447034 | Weighless Md, LLC | Dietitian, Registered | 14960 W. Greenfield Ave Suite 104, Brookfield, WI 53005 | 2015-05-29 |
| 1366837346 | Maegan Michelle Cook | Dentist | 13780 W Greenfield Ave Ste 780, Brookfield, WI 53005 | 2015-04-06 |
| Find all providers in zip 53005 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689863755 | Patricio F. Viernes, M.d. S.c. | Internal Medicine | 13845 W Capitol Dr, Brookfield, WI 53005-2408 | 2007-10-15 |
| 1487844353 | Swarnambal Mani | Internal Medicine | 367 Kristin Ct E, Brookfield, WI 53045-3584 | 2007-07-27 |
| 1992900542 | Hui Bun A Chua | Internal Medicine | 4420 Maple Ave, Brookfield, IL 60513-2331 | 2007-06-15 |
| 1336290444 | Zakaria Tawadrous | Internal Medicine | 19333 West North Ave., Elmbrook Memorial Hospital, Suite 309, Brookfield, WI 53045-5501 | 2007-01-15 |
| 1700945599 | Douglas Lloyd Brown | Internal Medicine | 17160 W North Ave Ste 202, Brookfield, WI 53005-4437 | 2006-12-07 |
| 1164434023 | Marcy L Mcadoo | Internal Medicine | 17000 W North Ave Ste 200e, Brookfield, WI 53005-4425 | 2006-08-12 |
| 1982634671 | Daniel C Tanty | Internal Medicine | 13850 W Capitol Drive, Brookfield, WI 53005 | 2006-07-05 |
| 1316988397 | Ehtesham J Ghani | Internal Medicine | 9223 Ogden Avenue, Brookfield, IL 60513 | 2006-06-09 |
| 1457323065 | Eugene P Burke | Internal Medicine | Prohealth Care Medical Centers-brookfield, 2085 N. Calhoun Road, Brookfield, WI 53005 | 2006-02-07 |
| 1326010026 | Patrick T Fitzgerald | Internal Medicine | 21700 Intertech Dr, Brookfield, WI 53045-5197 | 2006-02-06 |
| Find all providers in BROOKFIELD | ||||
| City | BROOKFIELD |
| Zip Code | 53005 |
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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.