BILLY L COOPER (NPI# 1366582009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366582009 |
| Entity Type | Organization |
| Organization Name | BILLY L COOPER |
| Practice Address |
39690 W 14 Mile Rd Commerce Township MI 48390-3909 |
| Practice Telephone | 2486692416 |
| Practice Fax Number | 2486710922 |
| Mailing Telephone | 2486692416 |
| Mailing Fax Number | 2486710922 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2009-08-17 |
| Authorized Official Name | MR. BILLY LEE COOPER (OWNER) |
| Authorized Official Telephone | 2486692416 |
| Authorized Official Credential | M.B.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD | 54-0-F3-4033-0 | 01 |
| Street Address |
39690 W 14 MILE RD |
| City | COMMERCE TOWNSHIP |
| State | MI |
| Zip Code | 48390-3909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043820913 | Elizabeth Ann Manela | Speech-Language Pathologist | 2075 East West Maple Road, Suite B203, Walled Lake, MI 48390 | 2020-08-05 |
| 1205459674 | Allor Outdoor Services LLC | Chore Provider | 3225 E Oakley Park Rd, Commerce Twp, MI 48390 | 2020-05-20 |
| 1467004382 | Convenient Cm PC | Dentist | 2655 Oakley Park Rd, Suite 101, Commerce Twp, MI 48390 | 2019-07-11 |
| 1629535117 | Valerie Baunoch | Nurse Practitioner | 2057 E West Maple Rd, Commerce Twp, MI 48390 | 2019-02-21 |
| 1255858296 | Finn Family Chiropractic Pllc | Chiropractor | 2344 South Commerce Road, Walled Lake, MI 48390 | 2017-08-29 |
| 1588012629 | Shane Macphee | Chiropractor | 2901 Commerce Crossings, Commerce Township, MI 48390 | 2016-05-31 |
| 1245690114 | Lisa Jensen | Nurse Practitioner | 100 West Maple Rd., Walled Lake, MI 48390 | 2016-03-04 |
| 1255725123 | Carissa Karanth | Counselor | 1500 Rustic Lane, Wolverine Lake, MI 48390 | 2015-03-27 |
| 1689095093 | Mabell Omoye Scott | Licensed Vocational Nurse | 724 Owl Court, Wolverine Lake, MI 48390 | 2014-01-02 |
| 1093002230 | Ilze Liene Junkulis-muller | Pharmacist | 495 Haggerty, Traget Pharmacy #0896, Walled Lake, MI 48390 | 2011-07-08 |
| Find all providers in zip 48390 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881016111 | Supply Line International Medical | Durable Medical Equipment & Medical Supplies | 746 Welch Rd, Commerce Township, MI 48390-3812 | 2014-01-06 |
| 1861824583 | Kroger Co of Michigan | Durable Medical Equipment & Medical Supplies | 2905 Union Lake Rd, Commerce Township, MI 48382-3565 | 2013-08-05 |
| 1518116136 | Omni Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 4153 Pioneer Dr, Commerce Township, MI 48390-1355 | 2008-09-18 |
| 1841409521 | Bort-swiss Orthopedic Supply | Durable Medical Equipment & Medical Supplies | 2221 Applebrook Dr, Commerce Township, MI 48382-1579 | 2007-05-21 |
| 1942365739 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 1703 Haggerty Hwy, Commerce Township, MI 48390-2833 | 2006-12-22 |
| 1700976768 | Nedich Inc | Durable Medical Equipment & Medical Supplies | 4305 Pineview Dr, Suite 300, Commerce Township, MI 48390-4111 | 2006-10-13 |
| 1871602391 | Perry Drug Stores Inc and Subsidiaries | Durable Medical Equipment & Medical Supplies | 3050 Union Lake Road, Commerce Township, MI 48382-4509 | 2006-08-29 |
| 1669488961 | Rite Aid of Michigan Inc | Durable Medical Equipment & Medical Supplies | 2425 Haggerty Highway, Commerce Township, MI 48390-1730 | 2006-07-31 |
| 1922020692 | Woodward Detroit Cvs LLC | Durable Medical Equipment & Medical Supplies | 495 Haggerty Hwy, Commerce Township, MI 48390-3936 | 2006-07-24 |
| 1669490520 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3301 N Pontiac Trl, Commerce Township, MI 48390-2746 | 2006-07-18 |
| Find all providers in COMMERCE TOWNSHIP | ||||
| City | COMMERCE TOWNSHIP |
| Zip Code | 48390 |
Please comment or provide details below to improve the information on BILLY L 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.