DR. BLAKE A COOPER (NPI# 1275579567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275579567 |
| Entity Type | Individual |
| Full Name | DR. BLAKE A COOPER |
| Credential | M.D. |
| Practice Address |
9301 W 74th St Suite 210 Shawnee Mission KS 66204-2207 |
| Practice Telephone | 9138317400 |
| Practice Fax Number | 9138317409 |
| Mailing Telephone | 9138317400 |
| Mailing Fax Number | 9138317409 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2013-05-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 2001014975 | MO | Other Service Providers |
| Y | 174400000X | Specialist | 0430052 | KS | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 205348923 | 05 | |
| KS | RAILROAD MEDICARE | P00303366 | 01 |
| MO | RAILROAD MEDICARE | P00024558 | 01 |
| KS | BLUE CROSS BLUE SHIELD OF | 102970 | 01 |
| MO | BLUE CROSS BLUE SHIELD OF | 32456016 | 01 |
| Street Address |
9301 W 74TH ST SUITE 210 |
| City | SHAWNEE MISSION |
| State | KS |
| Zip Code | 66204-2207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740285568 | Cristine G Carriker | Obstetrics & Gynecology | 9301 W 74th St, Ste 325, Shawnee Mission, KS 66204-2207 | 2005-06-17 |
| 1215339965 | Jennifer Ragan Vanleeuwen | Clinical Nurse Specialist | 9301 W 74th St, Suite 100, Shawnee Mission, KS 66204-2207 | 2014-09-24 |
| 1447559752 | Edwin Joshua Crosier | Physician Assistant | 9301 W 74th St, Suite 230, Shawnee Mission, KS 66204-2207 | 2011-03-25 |
| 1366775405 | Steven Ross Cohen | Ophthalmology | 9301 W 74th St, Suite 210, Shawnee Mission, KS 66204-2207 | 2009-09-08 |
| 1962692368 | Abdulraheem M.s Qasem | Internal Medicine | 9301 W 74th St, Suite 100, Shawnee Mission, KS 66204-2207 | 2007-07-31 |
| 1013119262 | Ravi S Singh | Internal Medicine | 9301 W 74th St, Suite 210, Shawnee Mission, KS 66204-2207 | 2007-06-01 |
| 1790999654 | Ryan Davis Christensen | Ophthalmology | 9301 W 74th St, Suite 210, Shawnee Mission, KS 66204-2207 | 2007-05-10 |
| 1568574978 | Mouhammed Jameel Kyasa | Internal Medicine | 9301 W 74th St, Suite 130, Shawnee Mission, KS 66204-2207 | 2006-08-31 |
| 1518994631 | David S. Dyer | Specialist | 9301 W 74th St, Suite 210, Shawnee Mission, KS 66204-2207 | 2006-06-26 |
| 1750325080 | Beatty G. Suiter | Specialist | 9301 W 74th St, Suite 210, Shawnee Mission, KS 66204-2207 | 2006-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326652405 | Avenue 81 Iaop | Assisted Living Facility | 8055 Metcalf Ave, Overland Park, KS 66204 | 2020-09-04 |
| 1487160255 | Femme Focus, L.L.C. | Clinic/Center | 7927 Floyd, Rm 5, Home Family Holistic Center, Overland Park, KS 66204 | 2017-12-15 |
| 1427577469 | Linda Kay Mufich-knopp | Physical Therapist | Femme Focus, L.L.C. In The Home Family Holistic Center, 7927 Floyd Street, Suite 5, Overland Park, KS 66204 | 2017-09-11 |
| 1700304789 | Kalli Dee Karmann | Occupational Therapy Assistant | 6814 W 72nd St, Overland Park, KS 66204 | 2017-08-30 |
| 1164951786 | Daniel Collins | Physical Therapist | 10000 W. 75th St. Ste. 250, Merriam, KS 66204 | 2017-06-07 |
| 1942686530 | Anna Katheryn Grantham | Speech-Language Pathologist | 10000 W. 75th St., Suite 250, Merriam, KS 66204 | 2015-08-05 |
| 1700262680 | Maple Hills Healthcare, Inc. | Skilled Nursing Facility | 7600 Antioch Rd, Overland Park, KS 66204 | 2015-08-03 |
| 1104211085 | John Brainard | Pediatrics | 8901 W 74th St Ste 10, Shawnee Mission, KS 66204 | 2015-03-30 |
| 1477941318 | Shelley Watts | Occupational Therapy Assistant | 6712 W 72nd Street, Overland Park, KS 66204 | 2014-12-30 |
| 1578963369 | James Aaron Mitchum | Counselor | 7923 Santa Fe Dr, Overland Park, KS 66204 | 2014-08-28 |
| Find all providers in zip 66204 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730304106 | Ronald Louis Pitts | Specialist | 10120 Wenonga Ln, Shawnee Mission, KS 66206-2445 | 2007-04-13 |
| 1104155746 | Juan C. Nosti Md Pa | Specialist | 8901 W 74th St, Suite 350, Shawnee Mission, KS 66204-2204 | 2009-12-10 |
| 1487843512 | Kenneth A Norton Md | Specialist | 8901 W 74th St, #333, Shawnee Mission, KS 66204-2204 | 2007-10-15 |
| 1548456551 | Hormone Hair Vein Center | Specialist | 12616 W 62nd Ter, Shawnee Mission, KS 66216-1814 | 2007-09-24 |
| 1043370646 | Patricia Burrell | Specialist | 10000 W 75th St, Suite 121, Shawnee Mission, KS 66204-2209 | 2006-12-12 |
| 1124117957 | Lowe & Freyaldenhoven Mds Chartered | Specialist | 8901 W 74th St, Suite 356, Shawnee Mission, KS 66204-2204 | 2006-10-12 |
| 1427061662 | Bruce Douglas Graham | Specialist | 8901 W 74th St, Suite 149, Shawnee Mission, KS 66204-2204 | 2006-08-15 |
| 1831110022 | Women's Health Associates | Specialist | 9119 W 74th St, Suite 300, Shawnee Mission, KS 66204-2236 | 2006-07-22 |
| 1518994631 | David S. Dyer | Specialist | 9301 W 74th St, Suite 210, Shawnee Mission, KS 66204-2207 | 2006-06-26 |
| 1750325080 | Beatty G. Suiter | Specialist | 9301 W 74th St, Suite 210, Shawnee Mission, KS 66204-2207 | 2006-06-16 |
| Find all providers in SHAWNEE MISSION | ||||
| City | SHAWNEE MISSION |
| Zip Code | 66204 |
Please comment or provide details below to improve the information on DR. BLAKE A 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.