DR. STEPHEN G COOPER (NPI# 1598758989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598758989 |
Entity Type | Individual |
Full Name | DR. STEPHEN G COOPER |
Credential | MD |
Practice Address |
826 S Governors Ave Dover DE 19904-4107 |
Mailing Address |
640 S. State Street Mail Code 3055 Dover DE 19901-3530 |
Practice Telephone | 3026743752 |
Practice Fax Number | 3026748521 |
Mailing Telephone | 3024801688 |
Mailing Fax Number | 3024809807 |
Enumeration Date | 2005-08-31 |
Last Update Date | 2020-11-03 |
NPI Deactivation Date | 03/24/2006 |
NPI Reactivation Date | 2006-05-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
C10002552 | DE | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
DE | 000221602 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
101 Wellness Way Ste 300, Milford, DE 199634366 | 3023935009 | 3024249211 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114548039 | Stephen Cooper | Health Educator | 20377 Hopkins Rd, Lewes, DE 19958-5532 | 2020-05-01 |
1922257575 | Stephen Franklin Cooper | General Practice | 14567 Deervale Pl, Sherman Oaks, CA 91403-4612 | 2008-09-18 |
1730706185 | Stephen James Cooper | Internal Medicine | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2020-07-01 |
1669993960 | Stephen William Cooper | Emergency Medicine | 1901 W Harrison St, Chicago, IL 60612-3714 | 2017-06-28 |
1346603404 | Stephen Dennis Cooper | Nurse Anesthetist, Certified Registered | 3705 Medical Pkwy, Suite 570, Austin, TX 78705 | 2016-04-05 |
1154626075 | Stephen Scott Cooper II | Nurse Anesthetist, Certified Registered | 2411 Fountain View Dr, Ste. 200, Houston, TX 77057-4817 | 2011-01-25 |
1114002565 | Stephen Michael Cooper | Pediatrics | 223 Phillip Morris Dr, Salisbury, MD 21804-1923 | 2006-10-26 |
1528154689 | Stephen Hart Cooper | Otolaryngology | 18399 Ventura Blvd, #248, Tarzana, CA 91356 | 2006-10-05 |
1407947211 | Stephen D Cooper | Respiratory Therapist, Registered | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2006-09-27 |
1659486173 | Stephen Cooper | Psychiatry & Neurology | 666 Glenbrook Rd, Stamford, CT 06906-1439 | 2006-08-21 |
Street Address |
826 S GOVERNORS AVE |
City | DOVER |
State | DE |
Zip Code | 19904-4107 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194938142 | Catherine A Wright | Otolaryngology | 826 S Governors Ave, Dover, DE 19904-4107 | 2007-05-07 |
1295808590 | Ent & Facial Plastic Surgery, P.a. | Otolaryngology | 826 S Governors Ave, Dover, DE 19904-4107 | 2006-11-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215534318 | Stanford Community Development Corporation, Inc | Community Health Worker | 111 South West Street, Suite 5, Dover, DE 19904 | 2020-10-02 |
1770145120 | Cara May O'reilly | Nurse Practitioner | 540 S. Governors Ave, Ste 101a, Dover, DE 19904 | 2019-07-07 |
1639631716 | Victoria Louise Sisson | Physical Therapy Assistant | 301 South Banning Street, Dover, DE 19904 | 2019-04-05 |
1336603091 | Ashley Santana | Counselor | 32 West Lookerman Street, Suite #103, Dover, DE 19904 | 2019-01-28 |
1679059869 | Vicdania Home Services | Technician | 1019 South Govenors Avenue, Dover, DE 19904 | 2018-07-11 |
1295221372 | Pam Squared At Dover LLC | Rehabilitation Hospital | 1240 Mckee Road, Dover, DE 19904 | 2018-07-02 |
1871000869 | Ronald Allen Beard | Counselor | 44 Carver Road, Dover, DE 19904 | 2017-12-29 |
1508376518 | First State Orthopaedics, Pa | Orthopaedic Surgery | 285 Beiser Blvd, Ste 201, Dover, DE 19904 | 2017-10-04 |
1700325057 | Center At Eden Hill LLC | Skilled Nursing Facility | 300 Banning Street, Dover, DE 19904 | 2017-02-20 |
1811352826 | West Dover Dental, LLC | Dentist | 2 Greentree Drive, Dover, DE 19904 | 2015-12-17 |
Find all providers in zip 19904 |
Taxonomy Code | 207YX0007X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Plastic Surgery within the Head & Neck |
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578567855 | Joseph Phillip Olekszyk | Otolaryngology | 900 Middleford Rd, Seaford, DE 19973-3604 | 2005-06-02 |
1508918087 | Nanticoke Ear, Nose and Throat Associates, P.a. | Otolaryngology | 900 Middleford Rd, Seaford, DE 19973-3604 | 2007-01-17 |
1003851718 | William L. Medford | Otolaryngology | 2300 Pennsylvania Ave, Suite 2a, Wilmington, DE 19806-1392 | 2006-06-17 |
1255372140 | Jay D. Luft | Otolaryngology | 2300 Pennsylvania Ave, Wilmington, DE 19806-1392 | 2006-06-09 |
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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.