DALE COOPER (NPI# 1447292420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447292420 |
| Entity Type | Individual |
| Full Name | DALE COOPER |
| Credential | PA |
| Practice Address |
6677 W Thunderbird Rd Ste A124 Glendale AZ 85306-3709 |
| Mailing Address |
2500 W Utopia Rd Ste. 100 Phoenix AZ 85027-4171 |
| Practice Telephone | 6237732266 |
| Practice Fax Number | 6237732267 |
| Mailing Telephone | 6234346200 |
| Mailing Fax Number | 6234346164 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2013-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 3478 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 573690 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023417771 | Dale Cooper | Physical Therapy Assistant | 28 Peachtree Ln, Madison, MS 39110-7452 | 2014-08-19 |
| 1184244634 | Dale Keith Cooper | Behavioral Analyst | 5208 W Avalon Dr, Phoenix, AZ 85031-3958 | 2020-04-24 |
| 1356650030 | Dale Phillip Cooper | Counselor | 510 E Carolina Ave, Hartsville, SC 29550-4312 | 2010-09-29 |
| Street Address |
6677 W THUNDERBIRD RD STE A124 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85306-3709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912904509 | Cecil Cyrus Vaughn IIi | Surgery | 6677 W Thunderbird Rd, G-116, Glendale, AZ 85306-3709 | 2005-06-28 |
| 1639602493 | Kelly Milton, Pllc | Psychiatry & Neurology | 6677 W Thunderbird Rd, Building D, Glendale, AZ 85306 | 2017-04-09 |
| 1407398787 | Southwest Center for Oral Surgery, Pllc | Dentist | 6677 W Thunderbird Rd, Suite H120, Glendale, AZ 85306-3709 | 2016-11-17 |
| 1376919035 | Neurology Center of Arizona Pllc | Specialist | 6677 W Thunderbird Rd, Bldg D148, Glendale, AZ 85306-3709 | 2015-08-18 |
| 1932537354 | Jon Martinson | Physician Assistant | 6677 W Thunderbird Rd, Suite I - 164, Glendale, AZ 85306-3709 | 2013-10-22 |
| 1972938165 | Az Home Md LLC | Podiatrist | 6677 W Thunderbird Rd, J 171, Glendale, AZ 85306-3709 | 2013-09-06 |
| 1497197677 | John C. Lincoln, LLC | Family Medicine | 6677 W Thunderbird Rd, Ste. A124, Glendale, AZ 85306-3709 | 2013-07-29 |
| 1881039337 | Kimberly Nelson | Physician Assistant | 6677 W Thunderbird Rd, Suite I - 164, Glendale, AZ 85306-3709 | 2013-05-09 |
| 1760755730 | Southwest Center for Oral, Facial and Dental Implant Surgery | Dentist | 6677 W Thunderbird Rd, Suite H120, Glendale, AZ 85306-3709 | 2012-02-21 |
| 1710279658 | Phoenix Medical Group, PC | Clinic/Center | 6677 W Thunderbird Rd, Bldg E, Glendale, AZ 85306-3722 | 2011-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548784648 | Michelle Weissgerber | Registered Nurse | 6640 W Maui Ln, Glendale, AZ 85306 | 2017-07-31 |
| 1427502947 | Az Interact LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6055 West Caribe Lane, Glendale, AZ 85306 | 2016-08-12 |
| 1649667635 | Richard Moreno Jr. | Physical Therapy Assistant | 6509 W Acapulco Ln, Glendale, AZ 85306 | 2015-04-17 |
| 1568863819 | Alternative Living for You | Assisted Living Facility | 5328 W. Tierra Buena Ln., Glendale, AZ 85306 | 2014-09-05 |
| 1649614561 | Matthew Brownell | Internal Medicine | 5555 W, Thunderbird, Banner Thunderbird Medical Center, Glendale, AZ 85306 | 2013-04-22 |
| 1366736266 | Miles Christenson | Speech-Language Pathologist | 14627 N 60th Ave, Glendale, AZ 85306 | 2011-06-08 |
| 1285928721 | Nathalie Tania Petein-alamshaw | Internal Medicine | 5555 W Thunderbird Road, Glendale, AZ 85306 | 2011-06-01 |
| 1134351869 | William J. Duff | Counselor | 5701 W. Talavi Boulevard, Suite 180, Phoenix, AZ 85306 | 2009-08-13 |
| 1538321369 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5422 W. Thunderbird, Suite 8, Glendale, AZ 85306 | 2008-07-02 |
| 1316109143 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5620 W. Thunderbird, Suite D3, Glendale, AZ 85306 | 2008-07-02 |
| Find all providers in zip 85306 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669079109 | Elizabeth Yushuva Rpac, Pllc | Physician Assistant | 23220 N 71st Dr, Glendale, AZ 85310-5872 | 2020-10-07 |
| 1033725437 | Kayla Gutierrez | Physician Assistant | 4820 W Mcrae Way, Glendale, AZ 85308-4821 | 2020-09-21 |
| 1487269015 | Olivia Julia Karczewski | Physician Assistant | 7764 76th St, Glendale, NY 11385-8239 | 2020-09-10 |
| 1508470923 | Joseph Robert Walsh | Physician Assistant | 18860 N 75th Dr, Glendale, AZ 85308-5948 | 2020-09-02 |
| 1598384463 | Josi Ann Bernal | Physician Assistant | 17505 N 79th Ave Ste 407, Glendale, AZ 85308-8732 | 2020-04-10 |
| 1497385470 | Elizabeth Sovakian | Physician Assistant | 1000 N Central Ave Ste 140, Glendale, CA 91202-3687 | 2020-01-18 |
| 1689216020 | Zeeshan Ahmad | Physician Assistant | 1101 E Broadway Ste 201, Glendale, CA 91205-1396 | 2019-10-16 |
| 1649821281 | Paige Nelson | Physician Assistant | 6908 W Escuda Dr, Glendale, AZ 85308-5516 | 2019-09-25 |
| 1821641879 | Carelinq Medical Group, Inc. | Physician Assistant | 436 W Colorado St Ste 210a, Glendale, CA 91204-3071 | 2019-07-18 |
| 1538625405 | Armen Avetisyan | Physician Assistant | 1630 Calle Vaquero Apt 207, Glendale, CA 91206-1504 | 2019-02-15 |
| Find all providers in GLENDALE | ||||
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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.