COOPER CLINIC PA (NPI# 1710214010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710214010 |
| Entity Type | Organization |
| Organization Name | COOPER CLINIC PA |
| Practice Address |
600 S 21st St Fort Smith AR 72901-3915 |
| Mailing Address |
Po Box 3528 Fort Smith AR 72913-3528 |
| Practice Telephone | 4792746750 |
| Practice Fax Number | 4794345395 |
| Mailing Telephone | 4792742000 |
| Mailing Fax Number | 4792742194 |
| Enumeration Date | 2009-11-06 |
| Last Update Date | 2015-09-01 |
| Authorized Official Name | CURTIS RALSTON (CEO) |
| Authorized Official Telephone | 4792742000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | MC-0254 | AR | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 191274716 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245633692 | Cooper Clinic Pa | Family Medicine | 690 N Kennedy Ave Rm 1, Booneville, AR 72927-3240 | 2014-09-30 |
| 1508122250 | Cooper Clinic Pa | Family Medicine | 2000 E Wood St Rm 1, Paris, AR 72855-2621 | 2012-04-06 |
| 1609898311 | Cooper Clinic Pa | Clinic/Center | 7306 Rogers Ave, Fort Smith, AR 72903-4164 | 2006-07-24 |
| 1588117519 | Cooper Clinic Pa | Physical Therapist | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2016-07-26 |
| 1841546785 | Cooper Clinic Pa | Podiatrist | 7306 Rogers Ave, Fort Smith, AR 72903-4164 | 2012-07-30 |
| 1063768901 | Cooper Clinic Pa | Podiatrist | 5004 S U St, Fort Smith, AR 72903-3600 | 2012-07-30 |
| 1194911370 | Cooper Clinic Pa | Audiologist | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2007-09-20 |
| 1376739557 | Cooper Clinic Pa | Optometrist | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2007-09-20 |
| 1366655623 | Cooper Clinic Pa | Family Medicine | 1801 E Main St, Charleston, AR 72933-9254 | 2007-05-07 |
| 1700099074 | Cooper Clinic Pa | Pediatrics | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2007-05-07 |
| Street Address |
600 S 21ST ST |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72901-3915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679085310 | Wright Podiatry, Pllc | Podiatrist | 600 S 21st St, Fort Smith, AR 72901-3915 | 2017-11-03 |
| 1316956634 | John D Wright | Podiatrist | 600 S 21st St, Fort Smith, AR 72901-3915 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922627249 | Vaibhav S Desai | Student in an Organized Health Care Education/Training Program | Family Medicine Uams-west, 612 South 12th St., Fort Smith, AR 72901 | 2020-04-16 |
| 1689136475 | Prudence Nassem Ipaye-adebiyi | Student in an Organized Health Care Education/Training Program | Family Medicine ; Uams-west, 612 South 12th St., Fort Smith, AR 72901 | 2019-04-02 |
| 1134608961 | Baptist Health Services | Otolaryngology | 520 Towson Ave, Suite A, Fort Smith, AR 72901 | 2018-08-13 |
| 1316426125 | Baptist Health Services | Internal Medicine | 1500 Dodson Ave Ste 60, Fort Smith, AR 72901 | 2018-08-13 |
| 1396224101 | Baptist Health Services | Internal Medicine | 1001 Towson Ave Ste 100, Fort Smith, AR 72901 | 2018-08-13 |
| 1164901914 | Baptist Health Services | Internal Medicine | 1001 Towson Ave Ste 200, Fort Smith, AR 72901 | 2018-08-13 |
| 1942789755 | Baptist Health Services | Counselor | 1001 Towson Ave Ste 500, Fort Smith, AR 72901 | 2018-08-13 |
| 1669951315 | Baptist Health Services | Family Medicine | 1500 Dodson Ave Ste 175, Fort Smith, AR 72901 | 2018-08-13 |
| 1508345265 | Baptist Health Services | Internal Medicine | 1500 Dodson Ave Ste 180, Fort Smith, AR 72901 | 2018-08-13 |
| 1326527086 | Baptist Health Services | Family Medicine | 1500 Dodson Ave Ste 195, Fort Smith, AR 72901 | 2018-08-13 |
| Find all providers in zip 72901 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386045763 | Rajnish Rammohan | Podiatrist | 5004 S U St Ste 101b, Fort Smith, AR 72903-3600 | 2014-09-04 |
| 1124045828 | Kent L Magrini | Podiatrist | 5004 S U St, Fort Smith, AR 72903-3600 | 2006-07-17 |
| 1598707754 | Daniel Barry Klein | Podiatrist | 9000 Rogers Ave, Ste B, Fort Smith, AR 72903 | 2006-06-12 |
| 1841546785 | Cooper Clinic Pa | Podiatrist | 7306 Rogers Ave, Fort Smith, AR 72903-4164 | 2012-07-30 |
| 1063768901 | Cooper Clinic Pa | Podiatrist | 5004 S U St, Fort Smith, AR 72903-3600 | 2012-07-30 |
| 1881962652 | Evan Reese Young | Podiatrist | 5004 S U St, Fort Smith, AR 72903-3600 | 2011-12-08 |
| 1740571454 | Ft Smith Hma Pbc Management, LLC | Podiatrist | 1500 Dodson Ave, Suite 290, Fort Smith, AR 72901-5182 | 2011-04-28 |
| 1427281302 | Orthopaedics, Pa | Podiatrist | 3501 We Knight Dr, Fort Smith, AR 72903-6248 | 2009-08-26 |
| 1316150949 | Kenneth Paul Seiter Jr. | Podiatrist | 1500 Dodson Ave, Ste 290, Fort Smith, AR 72901-5182 | 2007-05-08 |
| 1316956634 | John D Wright | Podiatrist | 600 S 21st St, Fort Smith, AR 72901-3915 | 2006-08-05 |
| Find all providers in FORT SMITH | ||||
| City | FORT SMITH |
| Zip Code | 72901 |
Please comment or provide details below to improve the information on COOPER CLINIC PA.
| 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.