COOPER CLINIC PA (NPI# 1245633692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245633692 |
| Entity Type | Organization |
| Organization Name | COOPER CLINIC PA |
| Practice Address |
690 N Kennedy Ave Rm 1 Booneville AR 72927-3240 |
| Mailing Address |
Po Box 3528 Fort Smith AR 72913-3528 |
| Practice Telephone | 4792742000 |
| Practice Fax Number | 4792742194 |
| Mailing Telephone | 4792742000 |
| Mailing Fax Number | 4792742194 |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2015-09-01 |
| Authorized Official Name | CURTIS RALSTON (CEO) |
| Authorized Official Telephone | 4792742000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508122250 | Cooper Clinic Pa | Family Medicine | 2000 E Wood St Rm 1, Paris, AR 72855-2621 | 2012-04-06 |
| 1609898311 | Cooper Clinic Pa | Clinic/Center | 7306 Rogers Ave, Fort Smith, AR 72903-4164 | 2006-07-24 |
| 1588117519 | Cooper Clinic Pa | Physical Therapist | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2016-07-26 |
| 1841546785 | Cooper Clinic Pa | Podiatrist | 7306 Rogers Ave, Fort Smith, AR 72903-4164 | 2012-07-30 |
| 1063768901 | Cooper Clinic Pa | Podiatrist | 5004 S U St, Fort Smith, AR 72903-3600 | 2012-07-30 |
| 1710214010 | Cooper Clinic Pa | Podiatrist | 600 S 21st St, Fort Smith, AR 72901-3915 | 2009-11-06 |
| 1194911370 | Cooper Clinic Pa | Audiologist | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2007-09-20 |
| 1376739557 | Cooper Clinic Pa | Optometrist | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2007-09-20 |
| 1366655623 | Cooper Clinic Pa | Family Medicine | 1801 E Main St, Charleston, AR 72933-9254 | 2007-05-07 |
| 1700099074 | Cooper Clinic Pa | Pediatrics | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2007-05-07 |
| Street Address |
690 N KENNEDY AVE RM 1 |
| City | BOONEVILLE |
| State | AR |
| Zip Code | 72927-3240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538675103 | Kimes Family Dentistry Pllc | Clinic/Center | 1090 E Main St, Booneville, AR 72927 | 2017-12-19 |
| 1730505876 | Booneville Chiropractic, Inc | Clinic/Center | 181 West 6th Street, Booneville, AR 72927 | 2014-03-13 |
| 1427486794 | Mercy Hospital Booneville | Clinic/Center | 128 Daniel Avenue, Booneville, AR 72927 | 2013-10-24 |
| 1982968822 | Emily M Kimes | Dentist | 1090 East Main St, Booneville, AR 72927 | 2012-06-26 |
| 1801928627 | State of Arkansas | Intermediate Care Facility, Mentally Retarded | 87 Reed Rd, Highway 116 South, Booneville, AR 72927 | 2007-03-09 |
| 1932274362 | Big World Drug Enterprises Inc | Pharmacy | 1531 East Main Street, Booneville, AR 72927 | 2006-11-21 |
| 1801907142 | J Thad Shirey | Dentist | 1090 Hwy 10 East, Booneville, AR 72927 | 2006-08-31 |
| 1013941806 | Booneville Community Hospital | General Acute Care Hospital | 880 W. Main St., Booneville, AR 72927 | 2006-07-10 |
| 1023007770 | Oak Manor Nursing and Rehabilitation Center Inc | Skilled Nursing Facility | 150 Morton Avenue, Booneville, AR 72927 | 2005-10-17 |
| 1073518593 | Booneville Community Hospital, Inc. | Home Health | 880 W Main, Booneville, AR 72927 | 2005-06-21 |
| Find all providers in zip 72927 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821557281 | Regenerative Medical Group Inc | Family Medicine | 2005 N 2nd St, Booneville, MS 38829-7728 | 2019-03-15 |
| 1447461900 | South Logan Family Practice | Family Medicine | 1808 East Main, Booneville, AR 72927-1373 | 2007-05-25 |
| 1326152109 | Family Practice Clinic of Booneville, Inc. | Family Medicine | 200 Mulberry St, Suite A, Booneville, KY 41314-7505 | 2006-08-18 |
| 1043257827 | Mountain Comprehensive Health Corporation | Family Medicine | 826 Ky 11 N, Booneville, KY 41314-9155 | 2006-06-01 |
| 1124090618 | Erik Ward Dukes | Family Medicine | 1301 N 2nd St, Booneville, MS 38829-1028 | 2006-02-07 |
| 1588664510 | Clifton C Cartwright | Family Medicine | 517 E Church St, Booneville, MS 38829-3709 | 2005-08-01 |
| 1922006790 | Booneville Family Clinic | Family Medicine | 128 Daniel Ave, Booneville, AR 72927-0110 | 2005-07-14 |
| 1598323511 | Lauren Waters | Family Medicine | 618 County Road 5031, Booneville, MS 38829-9410 | 2019-06-04 |
| 1558716738 | William Andrew Stevenson Iv | Family Medicine | 128 Daniel Dr, Booneville, AR 72927-4055 | 2016-04-26 |
| 1871900795 | Brittany Bobrowski | Family Medicine | 826 Ky 11 N, Booneville, KY 41314-9469 | 2014-07-14 |
| Find all providers in BOONEVILLE | ||||
| City | BOONEVILLE |
| Zip Code | 72927 |
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.