ESTACIA D COOPER (NPI# 1316196959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316196959 |
| Entity Type | Individual |
| Full Name | ESTACIA D COOPER |
| Other Name | ESTACIA DIANN THROWER |
| Credential | CNP |
| Practice Address |
5054 Waterford Place Dr Sheffield Village OH 44035-1494 |
| Mailing Address |
Po Box 636643 Cincinnati OH 45263-6643 |
| Practice Telephone | 4409348344 |
| Practice Fax Number | 4409348345 |
| Mailing Telephone | 4409893801 |
| Mailing Fax Number | 4409600264 |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2015-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
80155 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364S00000X | Clinical Nurse Specialist | 80155 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 3025372 | 05 | |
| OH | 0083912 | 05 |
| Street Address |
5054 WATERFORD PLACE DR |
| City | SHEFFIELD VILLAGE |
| State | OH |
| Zip Code | 44035-1494 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962488130 | Tracy Ann Carter | Obstetrics & Gynecology | 5054 Waterford Place Dr, Sheffield Village, OH 44035 | 2005-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514546 | Monica Sue Lane | Homemaker | 244 13th St, Elyria, OH 44035 | 2020-10-07 |
| 1457958993 | Joaquin Deandre Page | Homemaker | 116 Parkview Ct, Elyria, OH 44035 | 2020-10-07 |
| 1740887751 | Kelley Jean Duga | Home Health Aide | 46058 Russia Rd, Elyria, OH 44035 | 2020-10-02 |
| 1407477946 | Ashley Langer | Nurse Practitioner | 660 E Broad St, Elyria, OH 44035 | 2020-05-06 |
| 1518593730 | Scott Michael Hartman | Nurse Practitioner | 630 East River Streer, Elyria, OH 44035 | 2020-03-19 |
| 1609415793 | Melanie Scott | Registered Nurse | 830 East Broad St, Uh Hospitals Elyria, Elyria, OH 44035 | 2020-01-06 |
| 1922647478 | Hyatt Family Dental, LLC | Dentist | 301 East Avenue, Elyria, OH 44035 | 2020-01-02 |
| 1255988051 | Ashlee Marie Reale | Student in an Organized Health Care Education/Training Program | 347 Middle Blvd #210, Elyria, OH 44035 | 2019-08-26 |
| 1821656380 | Amber Mahone | Case Manager/Care Coordinator | 342 Midway Blvd Ste 210, Elyria, OH 44035 | 2019-05-30 |
| 1548788151 | Robin Lee Newhart | Physical Therapist | 1885 Lake Avenue, Elyria, OH 44035 | 2017-09-03 |
| Find all providers in zip 44035 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912058777 | Rhonda Sue Eubank | Nurse Practitioner | 3120 Parkway St Nw Ste A, Canton, OH 44708-3982 | 2007-01-16 |
| 1679657514 | Kristine M Stephens | Nurse Practitioner | 310 Tappan St, Columbus, OH 43201-3346 | 2006-10-25 |
| 1790720316 | Brenda Lee Gatchel | Nurse Practitioner | 960 S Prospect St, Marion, OH 43302-6225 | 2006-06-18 |
| 1114984234 | Lillian Miranda Hesler | Nurse Practitioner | 5 East Liberty Street, Cincinnati, OH 45202 | 2006-05-01 |
| 1447238555 | Sarah Wilson | Nurse Practitioner | 199 William Howard Taft Rd, Cincinnati, OH 45219-2103 | 2006-01-09 |
| 1124009907 | Denise Anne Salisbury | Nurse Practitioner | 411 Oak St, Sterling Medical Associates, Attn: Credentials, Cincinnati, OH 45219-2598 | 2005-11-09 |
| 1609875459 | Michelle Joy Slider | Nurse Practitioner | 2094 E State St, Suite B, Salem, OH 44460-4409 | 2005-07-14 |
| 1174529853 | Angela F Rothstein | Nurse Practitioner | 5 W Wenger Rd, Ste D, Englewood, OH 45322-2723 | 2005-06-27 |
| 1306471669 | Katherine Leigh Hiner | Nurse Practitioner | 6780 Mayfield Rd, Mayfield Heights, OH 44124-2203 | 2020-03-06 |
| 1134759632 | Ashley Marie Walker | Nurse Practitioner | 7675 Wellness Way, West Chester, OH 45069-2509 | 2020-01-23 |
| Find all providers with the same taxonomy | ||||
| City | SHEFFIELD VILLAGE |
| Zip Code | 44035 |
Please comment or provide details below to improve the information on ESTACIA D 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.