MICHAEL KEITH COOTS (NPI# 1508856485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508856485 |
| Entity Type | Individual |
| Full Name | MICHAEL KEITH COOTS |
| Credential | HSPP |
| Practice Address |
488 W Hospital Rd Paoli IN 47454-8807 |
| Mailing Address |
Po Box 769 Jasper IN 47547-0769 |
| Practice Telephone | 8124823020 |
| Practice Fax Number | 8124826409 |
| Mailing Telephone | 8124823020 |
| Mailing Fax Number | 8124826409 |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2016-06-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
20041673A | IN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200339990 | 05 |
| Street Address |
488 W HOSPITAL RD |
| City | PAOLI |
| State | IN |
| Zip Code | 47454-8807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043819915 | Tammi R Nicholson | Counselor | 488 W Hospital Rd, Paoli, IN 47454-8807 | 2020-10-22 |
| 1841763430 | Ashley Wilson | Social Worker | 488 W Hospital Rd, Paoli, IN 47454-8807 | 2019-01-07 |
| 1821565920 | Lifespring, Inc | Clinic/Center | 488 W Hospital Rd, Paoli, IN 47454-8807 | 2018-10-26 |
| 1720475965 | Southern Indiana Eye Care, LLC | Optometrist | 488 W Hospital Rd, Paoli, IN 47454-8807 | 2015-04-24 |
| 1760800320 | Jayme Albin | Social Worker | 488 W Hospital Rd, Paoli, IN 47454-8807 | 2014-04-01 |
| 1003150582 | Cara L Williams | Social Worker | 488 W Hospital Rd, Paoli, IN 47454-8807 | 2012-11-21 |
| 1548504020 | Anna L Mcclintic | Social Worker | 488 W Hospital Rd, Paoli, IN 47454-8807 | 2012-11-21 |
| 1992081236 | Barbara Jane Conner | Social Worker | 488 W Hospital Rd, Paoli, IN 47454-8807 | 2011-11-01 |
| 1407142441 | Robert David Cole Jr. | Optometrist | 488 W Hospital Rd, Suite 1, Paoli, IN 47454-8807 | 2011-06-28 |
| 1578769766 | Wallace Shellenberger | Psychiatry & Neurology | 488 W Hospital Rd, Paoli, IN 47454-8807 | 2007-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144657883 | Jasmita Ranchod | Psychologist | 488 W Hospital Road, Paoli, IN 47454 | 2013-09-26 |
| 1588928014 | Sarah Jones Whiteman | Nurse Practitioner | 560 W Longest Street, Paoli, IN 47454 | 2012-06-29 |
| 1538457809 | Total Renal Care Inc | Clinic/Center | 555 W Longest St, Paoli, IN 47454 | 2011-07-20 |
| 1487983391 | Southeast Township (orange County) Volunteer Fire Company In | Non-emergency Medical Transport (VAN) | 2723 East County Road 725south., Paoli, IN 47454 | 2009-12-24 |
| 1033341300 | Heather L. Terwiske | Social Worker | 488 W. Hospital Rd., Paoli, IN 47454 | 2009-08-19 |
| 1295957736 | Linda Carol Wells-freiberger | Nurse Practitioner | 202 Cherry Street, Paoli, IN 47454 | 2007-05-03 |
| 1215150222 | Roger W Dillman Dds PC | Dentist | 138 S Court Street, Paoli, IN 47454 | 2007-04-10 |
| 1043394133 | Herbert Ray Stevens | Dentist | 1326 W Leonard Circle, Paoli, IN 47454 | 2006-10-25 |
| 1083706162 | Glenn Jay Pedersen | Chiropractor | 421 Sw 1st St, Paoli, IN 47454 | 2006-09-28 |
| 1790795490 | Melissa Price | Social Worker | 946 S Ridgecrest Ln, Paoli, IN 47454 | 2006-08-08 |
| Find all providers in zip 47454 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144657883 | Jasmita Ranchod | Psychologist | 488 W Hospital Road, Paoli, IN 47454 | 2013-09-26 |
| 1700081692 | Victor Joseph Shklyarevsky | Psychologist | 41 Leopard Rd, Paoli Executive Green I, Suite 304, Paoli, PA 19301-1549 | 2007-06-19 |
| 1801013206 | Jennifer Jackson Holden | Psychologist | 41 Leopard Rd Ste 304, Center for Psychological Services, Paoli, PA 19301-1549 | 2007-04-19 |
| 1750346136 | Roger William Osmun | Psychologist | 30 S Valley Rd Ste 306, Paoli, PA 19301-1476 | 2006-04-19 |
| 1528628054 | Susan J Campling,rn, Psy.d PC | Psychologist | 45 Darby Rd Ste F, Paoli, PA 19301-1475 | 2019-06-17 |
| 1295206290 | Pinnacle Psychological Services, LLC | Psychologist | 30 S Valley Rd Ste 306, Paoli, PA 19301-1476 | 2018-12-17 |
| 1396107561 | Kathryn Ee-ling Lou | Psychologist | 16 Industrial Blvd, Suite 102, Paoli, PA 19301-1609 | 2016-03-25 |
| 1407212764 | Kathryn Kurivial | Psychologist | 41 Leopard Rd, Executive Green Building 1, Suite 304, Paoli, PA 19301-1549 | 2016-01-01 |
| 1578851226 | Brendali F Reis | Psychologist | 43 Leopard Rd, Paoli Executive Green II, Suite 100, Paoli, PA 19301-1552 | 2011-07-15 |
| 1912176413 | Counseling Associates | Psychologist | 20 S Valley Rd, Paoli, PA 19301-1465 | 2008-02-28 |
| Find all providers in PAOLI | ||||
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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.