RICHARD COOLEY III (NPI# 1467514992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467514992 |
| Entity Type | Individual |
| Full Name | RICHARD COOLEY III |
| Credential | DO |
| Practice Address |
100 Malton St Ste 4 Negaunee MI 49866-2001 |
| Practice Telephone | 9064757838 |
| Practice Fax Number | 9064866898 |
| Mailing Telephone | 9064757838 |
| Mailing Fax Number | 9064866898 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 5101013819 | MI | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | RRMEDICARE | P00184525 | 01 |
| MI | BCBS LICENSE | RC013819 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245265552 | Richard Todd Cooley | Internal Medicine | 7373 Perkins Rd, Baton Rouge, LA 70808-4326 | 2006-07-12 |
| Street Address |
100 MALTON ST STE 4 |
| City | NEGAUNEE |
| State | MI |
| Zip Code | 49866-2001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154342442 | Patricia A Hill | Nurse Practitioner | 100 Malton St, Ste 7, Negaunee, MI 49866-2001 | 2006-07-21 |
| 1497817969 | Martinus Joeseph Lexmond | Specialist | 100 Malton St, Ste 1, Negaunee, MI 49866-2001 | 2006-12-14 |
| 1083776553 | William C Humphrey | Specialist | 100 Malton St, Ste 6, Negaunee, MI 49866-2001 | 2006-12-14 |
| 1235291766 | Kenneth W Hammerman | Specialist | 100 Malton St, Ste 4, Negaunee, MI 49866-2001 | 2006-12-14 |
| 1821150327 | Judith Mestnik Gray | Physician Assistant | 100 Malton St, Ste 6, Negaunee, MI 49866-2001 | 2006-12-14 |
| 1851453351 | Marli Jean Carlson | Nutritionist | 100 Malton St, Negaunee, MI 49866-2001 | 2006-12-14 |
| 1639230378 | Jeremy M Steele | Physician Assistant | 100 Malton St, Ste 4, Negaunee, MI 49866-2001 | 2006-12-13 |
| 1912068305 | Matthew Brandow | Specialist | 100 Malton St, Ste 7, Negaunee, MI 49866-2001 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508352121 | David Levi Jylha | Custodial Care Facility | 225 County Rd 480, Negaunee, MI 49866 | 2018-07-06 |
| 1457874455 | Anne Marie Marshall | Counselor | 104 Malton Rd., Asc Great Lakes Recovery, Negaunee, MI 49866 | 2017-07-21 |
| 1114336286 | Jordan Jarvi | Physical Therapy Assistant | 600 Us Highway 41, Negaunee, MI 49866 | 2014-08-04 |
| 1669899241 | Great Lakes Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 104 Malton Road, Negaunee, MI 49866 | 2014-03-21 |
| 1144408220 | Dan Whitley Collins | Dentist | 100 Croix Street, Negaunee, MI 49866 | 2008-01-31 |
| 1588705602 | Denise Evie Koehn | Nurse Practitioner | Marquette County Health Dept., 184 Hwy 41 East, Negaunee, MI 49866 | 2007-02-09 |
| 1659467744 | Sandra K Mccowen | Family Medicine | 100 Malton Rd., Negaunee, MI 49866 | 2006-10-05 |
| 1689680480 | M K Stores Inc | Durable Medical Equipment & Medical Supplies | 390 Us 41 East, Negaunee, MI 49866 | 2006-08-01 |
| 1013924323 | Mk Stores Inc | Pharmacy | 380 Us Highway 41 East, Negaunee, MI 49866 | 2006-08-01 |
| 1568432342 | Professional Breathing Associates Inc | Prosthetic/Orthotic Supplier | 256 U.S. 41 East, Negaunee, MI 49866 | 2006-01-25 |
| Find all providers in zip 49866 | ||||
| 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 |
|---|---|---|---|---|
| 1851452403 | Hilary A Metcalf | Specialist | 100 Malton Rd, Ste 6, Negaunee, MI 46866 | 2006-12-13 |
| 1497817969 | Martinus Joeseph Lexmond | Specialist | 100 Malton St, Ste 1, Negaunee, MI 49866-2001 | 2006-12-14 |
| 1083776553 | William C Humphrey | Specialist | 100 Malton St, Ste 6, Negaunee, MI 49866-2001 | 2006-12-14 |
| 1235291766 | Kenneth W Hammerman | Specialist | 100 Malton St, Ste 4, Negaunee, MI 49866-2001 | 2006-12-14 |
| 1912068305 | Matthew Brandow | Specialist | 100 Malton St, Ste 7, Negaunee, MI 49866-2001 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619574118 | Gada Santos | Specialist | 10786 Pine St, Taylor, MI 48180-3440 | 2020-10-07 |
| 1750995361 | Advanced Spinal Reconstruction Pllc | Specialist | 972 Chesterfield Ave, Birmingham, MI 48009-1223 | 2020-09-01 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1235765827 | Magic Touch Salon | Specialist | 746 Burton St Se, Grand Rapids, MI 49507-3204 | 2020-03-16 |
| 1144865411 | Yasmeen Global Beauty Group | Specialist | 21701 W 11 Mile Rd Ste 7, Southfield, MI 48076-3713 | 2019-11-11 |
| 1255990552 | Kboose | Specialist | 3008 Juneberry Ave Se, Grand Rapids, MI 49508-1523 | 2019-06-10 |
| 1124685789 | Grooming Arts Lounge and Gallery | Specialist | 19520 Dorset St, Southfield, MI 48075-7112 | 2019-05-20 |
| 1144787326 | At Home Physician Management Group Co. | Specialist | 27440 Hoover Rd Ste C, Warren, MI 48093-7726 | 2019-02-25 |
| 1821561200 | Bailee J Moffitt | Specialist | 913 W Holmes Rd Unit 200, Lansing, MI 48910-0426 | 2019-01-08 |
| 1871064808 | Shanna E Cook | Specialist | 20843 Garden Ln, Ferndale, MI 48220-2217 | 2018-12-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on RICHARD COOLEY III.
| 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.