COOPER SURGICAL ASSOCIATES (NPI# 1295854412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295854412 |
| Entity Type | Organization |
| Organization Name | COOPER SURGICAL ASSOCIATES |
| Practice Address |
3 Cooper Plz Suite 411 Camden NJ 08103-1438 |
| Mailing Address |
3 Cooper Plz Suite 502 Camden NJ 08103-1438 |
| Practice Telephone | 8563422270 |
| Mailing Telephone | 8569687433 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROBERT MCMULLEN (EVP MANAGED CARE ADMINASTRATION) |
| Authorized Official Telephone | 8563427369 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | AMERIHEALTH GRP NUMBER | 0365692000 | 01 |
| NJ | 2865807 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093902009 | Cooper Surgical Associates | Surgery | 1 Cooper Plz, Cooper Univeristy Hospital, Camden, NJ 08103-1461 | 2007-10-03 |
| 1467645416 | Cooper Surgical Associates | Neurological Surgery | 3 Cooper Plz, Suite 403, Camden, NJ 08103-1438 | 2007-08-23 |
| 1003009051 | Cooper Surgical Associates | Podiatrist | 4 Plaza Dr, Suite 402, Sewell, NJ 08080-2747 | 2007-08-23 |
| 1730372780 | Cooper Surgical Associates | Otolaryngology | 3 Cooper Plz, Suite 411, Camden, NJ 08103-1438 | 2007-08-23 |
| 1194918144 | Cooper Surgical Associates | Plastic Surgery | 3 Cooper Plz, Suite 411, Camden, NJ 08103-1438 | 2007-08-23 |
| 1326167933 | Cooper Surgical Associates | Occupational Therapist | 3 Cooper Plz, Suite 518, Camden, NJ 08103-1438 | 2007-03-28 |
| 1770602286 | Cooper Surgical Associates | Physical Therapist | 3 Cooper Plz, Suite 518, Camden, NJ 08103-1438 | 2007-03-28 |
| 1568581981 | Cooper Surgical Associates | Orthopaedic Surgery | 3740 W Chester Pike, Newtown Square, PA 19073-3223 | 2007-03-28 |
| 1154440618 | Cooper Surgical Associates | Surgery | 3 Cooper Plz, Suite 403, Camden, NJ 08103-1438 | 2007-03-28 |
| 1104945328 | Cooper Surgical Associates | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3 Cooper Plz, Suite 411, Camden, NJ 08103-1438 | 2007-03-28 |
| Street Address |
3 COOPER PLZ SUITE 411 |
| City | CAMDEN |
| State | NJ |
| Zip Code | 08103-1438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164427241 | Christopher T Olivia | Ophthalmology | 3 Cooper Plz, Rm 510, Camden, NJ 08103-1438 | 2005-06-16 |
| 1932718897 | Yaritza Santana-orozco | Student in an Organized Health Care Education/Training Program | 3 Cooper Plz, Camden, NJ 08103-1438 | 2020-07-27 |
| 1053929588 | Karl Leon Snyder | Counselor | 3 Cooper Plz, Camden, NJ 08103-1438 | 2020-07-21 |
| 1861000606 | Jordan Murphy | Community Health Worker | 3 Cooper Plz, Camden, NJ 08103-1438 | 2020-07-17 |
| 1740808823 | Alexandria Davenport | Physician Assistant | 3 Cooper Plz, Camden, NJ 08103-1438 | 2020-07-06 |
| 1457978629 | Osama M Sayed | Student in an Organized Health Care Education/Training Program | 3 Cooper Plz, Camden, NJ 08103-1438 | 2020-07-02 |
| 1952948234 | Christy Lambert | Physical Therapist | 3 Cooper Plz, Camden, NJ 08103-1438 | 2019-12-05 |
| 1598301368 | Yamna Azhar | Pharmacist | 3 Cooper Plz, Camden, NJ 08103-1438 | 2019-11-26 |
| 1588215792 | Adisa Kljuco | Nurse Practitioner | 3 Cooper Plz, Camden, NJ 08103-1438 | 2019-09-28 |
| 1083272470 | Jasmine Marahar | Student in an Organized Health Care Education/Training Program | 3 Cooper Plz, Camden, NJ 08103-1438 | 2019-05-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516063 | Toni Marie Primas | Registered Nurse | Sheridan Pavilion, Three Cooper Plaza Suite 220, Camden, NJ 08103 | 2020-07-24 |
| 1376028548 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 805-815 Federal Street, Camden, NJ 08103 | 2018-10-03 |
| 1942795802 | Kyle Richard Marden | Student in an Organized Health Care Education/Training Program | 401 Haddon Avenue, 2nd Floor Room 266, Camden, NJ 08103 | 2018-06-24 |
| 1588157473 | Julio Antonio Rodriguez Jr. | Student in an Organized Health Care Education/Training Program | Cooper University Hospital, 3 Cooper Plaza Suite 408, Camden, NJ 08103 | 2018-06-14 |
| 1386149748 | Shuchi Gupta | Nurse Practitioner | 519 West Street, Camden, NJ 08103 | 2018-03-28 |
| 1326541491 | Bolanle Idowu-akangbe | Nurse Practitioner | 519-525 West Street, Camden, NJ 08103 | 2018-03-14 |
| 1740709500 | New Beginnings Behavioral Health | Clinic/Center | 1300 Princess Avenue, Camden, NJ 08103 | 2017-09-13 |
| 1760905012 | Loraine Morris | Counselor | 1479 Kaighn Ave, Camden, NJ 08103 | 2017-07-19 |
| 1386164333 | Matthew Share | Genetic Counselor, MS | Two Cooper Plaza, 400 Haddon Avenue, Md Anderson Cancer Center, Camden, NJ 08103 | 2017-06-21 |
| 1568902070 | Cooper University Hospital | General Acute Care Hospital | 1 Cooper Plaza, Dorrance 222, Camden, NJ 08103 | 2017-03-02 |
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| 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 |
|---|---|---|---|---|
| 1801162268 | Jennifer Margaret Burg | Surgery | Cooper Surgical Associates, Sheridan Pavilion, 3 Cooper, Suite 411, Camden, NJ 08103 | 2012-03-29 |
| 1972747517 | Michael Trayser Dunaway | Surgery | 1413 Mill St, Camden, SC 29020-2934 | 2009-04-27 |
| 1831345461 | David Daniel Shersher | Surgery | 3 Cooper Plz Rm 221, Camden, NJ 08103-1438 | 2008-08-14 |
| 1720020647 | Mark A Shina | Surgery | 415 Hospital Dr Ste 3, Camden, AR 71701 | 2006-06-12 |
| 1326099912 | Edward A Gill | Surgery | 1102 Roberts St, Camden, SC 29020-3734 | 2006-05-16 |
| 1962486761 | Prakash Vaidy | Surgery | 379 Walmart Dr, Camden, DE 19934-1365 | 2005-12-05 |
| 1174511091 | Diane Gillum | Surgery | 2 Cooper Plaza, 400 Haddon Ave, Camden, NJ 08103-1461 | 2005-10-13 |
| 1215479159 | Ouachita Physician Services, LLC | Surgery | 415 Hospital Dr, Ste. 3, Camden, AR 71701-4615 | 2016-11-09 |
| 1366998619 | Alireza Mofid | Surgery | 1 Cooper Plz, Camden, NJ 08103 | 2016-08-28 |
| 1437549482 | William Matthew Harris | Surgery | 1600 Haddon Ave, Camden, NJ 08103 | 2015-01-29 |
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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.