MR. JACK MARSHALL COOPER (NPI# 1255511572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255511572 |
| Entity Type | Individual |
| Full Name | MR. JACK MARSHALL COOPER |
| Credential | M.D. |
| Practice Address |
470 Taylor Rd Suite 202 Montgomery AL 36117-3563 |
| Practice Telephone | 3342446773 |
| Practice Fax Number | 3342444234 |
| Mailing Telephone | 3342446773 |
| Mailing Fax Number | 3342444234 |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2016-03-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 32228 | AL | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 2012-00248 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5920296 | 05 | |
| AL | 149171 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730274457 | Jack Medford Cooper | Ophthalmology | 634 Uptown Blvd, Cedar Hill, TX 75104-3529 | 2006-10-04 |
| 1174617450 | Jack Dean Cooper | Dentist | 705 N 17th Ave, Ashland, NE 68003 | 2006-10-03 |
| 1104894039 | Jack Cooper | Orthopaedic Surgery | 1150 Campo Sano Ave, Suite 301, Coral Gables, FL 33146-1174 | 2006-03-08 |
| 1659347995 | Jack Cooper | Registered Nurse | 1650 Cochrane Cir, Usa Meddac/each Attn Ms. Rankin, Ft Carson, CO 80913-4603 | 2006-02-27 |
| Street Address |
470 TAYLOR RD SUITE 202 |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36117-3563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457357311 | Cheryl G Fekete | Pediatrics | 470 Taylor Rd, Suite 210, Montgomery, AL 36117-3563 | 2005-06-24 |
| 1770027146 | Wesley J. Jones | Nurse Anesthetist, Certified Registered | 470 Taylor Rd, Montgomery, AL 36117-3563 | 2016-12-05 |
| 1841655172 | Montgomery Surgery Specialists | Clinic/Center | 470 Taylor Rd, Suite 202, Montgomery, AL 36117-3563 | 2015-12-31 |
| 1700256351 | Katie Sanderson Carter | Nurse Practitioner | 470 Taylor Rd, Suite 300, Montgomery, AL 36117-3563 | 2015-09-25 |
| 1700291879 | Preet Kiran | Family Medicine | 470 Taylor Rd, Suite 310, Montgomery, AL 36117-3563 | 2014-06-26 |
| 1467866624 | Pain Treatment Centers of Alabama, PC | Pain Medicine | 470 Taylor Rd, Suite 201, Montgomery, AL 36117-3563 | 2014-06-16 |
| 1952712374 | Lisa Ann Goodman | Registered Nurse | 470 Taylor Rd, Suite 202, Montgomery, AL 36117-3563 | 2014-05-20 |
| 1811232887 | Zahra Daftarian | Nurse Practitioner | 470 Taylor Rd, Suite 310, Montgomery, AL 36117-3563 | 2012-12-03 |
| 1013287648 | The Health Care Authority for Baptist Health, An Affiliate of Uabhs | Urology | 470 Taylor Rd, Suite 202, Montgomery, AL 36117-3563 | 2012-01-12 |
| 1679864870 | Vernishia Hill-graham | Family Medicine | 470 Taylor Rd, Suite 310, Montgomery, AL 36117-3563 | 2011-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061307 | Bhg Lxxiii, LLC | Clinic/Center | 1714 Platt Place, Montgomery, AL 36117 | 2020-10-22 |
| 1952945602 | East Montgomery Pediatrics LLC | Pediatrics | 337 St Lukes Drive, Montgomery, AL 36117 | 2019-11-05 |
| 1417421496 | Tiffany Webb | Specialist | 411 Twain Curve, E, Montgomey, AL 36117 | 2019-01-14 |
| 1013485374 | Montgomery Orthodontic Specialists | Dentist | 5833 Carmichael Road, Montgomery, AL 36117 | 2018-11-05 |
| 1770050791 | Blair Henderson Parks | Speech-Language Pathologist | 7088 University Court, Montgomery, AL 36117 | 2018-10-29 |
| 1629557822 | Evelyn F Crayton | Dietitian, Registered | 124 Elm Dr, Montgomery, AL 36117 | 2018-08-08 |
| 1194203414 | Coopers Mental Healh Consultations | Psychologist | 8743 Ridgestone Ct, Montgomery, AL 36117 | 2018-07-30 |
| 1063912301 | Gardenia Cove Mental Health PC | Psychiatry & Neurology | 6771 Taylor Circle, Montgomery, AL 36117 | 2018-02-13 |
| 1760900294 | Montgomery Auburn Homecare LLC | In Home Supportive Care | 2569 Bell Rd, Montgomery, AL 36117 | 2017-09-05 |
| 1336667120 | Alyssa Bryanna Swisher | Chiropractor | 2026 Berryhill Road, Montgomery, AL 36117 | 2017-09-01 |
| Find all providers in zip 36117 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194256438 | Jackson Hospital and Clinic Inc. | Surgery | 1722 Pine St Ste 201, Montgomery, AL 36106-1158 | 2017-03-27 |
| 1245641711 | Amy Elizabeth Murphy | Surgery | 10506 Montgomery Rd Ste 101, Montgomery, OH 45242-4400 | 2014-05-18 |
| 1326376922 | James W. Jones | Surgery | 31 La Costa Dr, Montgomery, TX 77356-5325 | 2009-11-20 |
| 1558535096 | Robert B Harris Md PC | Surgery | 1801 Pine Street, Suite 202, Montgomery, AL 36106-1154 | 2008-04-16 |
| 1477730026 | William C Streetman | Surgery | 470 Taylor Road, Suite 202, Montgomery, AL 36117-3532 | 2008-01-25 |
| 1790806578 | Benjamin Terrell Rush | Surgery | 2055 E South Blvd Ste 908, Montgomery, AL 36116-2007 | 2007-04-02 |
| 1780733220 | Randal M Sedlak | Surgery | 1722 Pine St Ste 503, Montgomery, AL 36106-1160 | 2007-01-10 |
| 1669568838 | Southeast Surgery, PC | Surgery | 4224 Carmichael Ct N, Montgomery, AL 36106-3621 | 2006-10-05 |
| 1669573465 | Bennie R Hamner | Surgery | 2027 Normandie Drive, Montgomery, AL 36111 | 2006-09-26 |
| 1316043037 | Alan Joseph Berlin | Surgery | 214 Mitylene Park Dr, Montgomery, AL 36117-3548 | 2006-09-16 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36117 |
Please comment or provide details below to improve the information on MR. JACK MARSHALL COOPER.
| 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.