DR. MELVIN WAYNE COOPER


Address: 203 Nacogdoches St, Ste 240, Jacksonville, TX 75766-2462
Phone: 9035895430

DR. MELVIN WAYNE COOPER (NPI# 1720025067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720025067
Entity Type Individual
Full Name DR. MELVIN WAYNE COOPER
Credential MD
Practice Address 203 Nacogdoches St
Ste 240
Jacksonville
TX 75766-2462
Mailing Address Po Box 9477
Tyler
TX 75711-9477
Practice Telephone 9035895430
Practice Fax Number 9035895450
Mailing Telephone 9035942450
Mailing Fax Number 9035090493
Enumeration Date 2006-06-02
Last Update Date 2008-09-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
E0426 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 135664409 05
TX RAILROAD MEDICARE 060069620 01
TX SUPERIOR 122432 01
TX BLUE CROSS 8G2254 01

Other Providers MELVIN COOPER

NPI Name Taxonomy Address Enumeration
1841739638 Melvin L Cooper Jr. Nurse Practitioner 1401 Medical Pkwy, Cedar Park, TX 78613-7763 2017-02-14
1114117967 Melvin Collen Cooper Jr. Case Manager/Care Coordinator 20 Powderhorn Rd, Simpsonville, SC 29681-3399 2007-07-27

Office Location

Street Address 203 NACOGDOCHES ST
STE 240
City JACKSONVILLE
State TX
Zip Code 75766-2462

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861491920 Todd Alan Parrish Orthopaedic Surgery 203 Nacogdoches St, Suite 150, Jacksonville, TX 75766-2462 2005-07-20
1821366170 East Texas Medical Center Jacksonville Clinic/Center 203 Nacogdoches St, Suite 280, Jacksonville, TX 75766-2444 2011-12-01
1265727457 Courtney E Rose Pediatrics 203 Nacogdoches St, Suite 275, Jacksonville, TX 75766-2462 2011-06-15
1588956866 James R Low, Jr., M.d.,p.a. Internal Medicine 203 Nacogdoches St, Ste 360, Jacksonville, TX 75766-2462 2011-05-05
1568783249 James A. Thurow, D.o., P.a. Internal Medicine 203 Nacogdoches St, Suite 180, Jacksonville, TX 75766-2462 2010-06-17
1821316498 Dogwood Orthopaedic Clinic, Pa Durable Medical Equipment & Medical Supplies 203 Nacogdoches St, Suite 150, Jacksonville, TX 75766-2462 2010-05-06
1679898886 Charles P Cameron Pediatrics 203 Nacogdoches St, Suite 280, Jacksonville, TX 75766-2462 2010-03-30
1053635391 Traci Cameron Nurse Practitioner 203 Nacogdoches St, Suite 280, Jacksonville, TX 75766-2462 2010-03-16
1003144361 Surgical Associates of Cherokee County Pa Surgery 203 Nacogdoches St, Suite 260, Jacksonville, TX 75766-2462 2009-11-25
1760464366 Guillermo Alfonso Saade Internal Medicine 203 Nacogdoches St, Ste 290, Jacksonville, TX 75766-2444 2005-11-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770062788 David Rentz Occupational Therapy Assistant 838 Brown St., Jacksonville, TX 75766 2018-08-09
1295233146 Amanda Dawn Anderson Licensed Vocational Nurse Fm 347, Jacksonville, TX 75766 2018-01-25
1467896241 Christopher Mark Sirianni Anesthesiology 2026 S Jackson St Apt 1213, Jacksonville, TX 75766 2013-04-23
1164703047 Aegis Psychological Consulting LLC Psychologist 208 E. Rusk St., Jacksonville, TX 75766 2011-09-06
1952697872 Melissa Springmeyer Family Medicine 2026 South Jacksonville Street, Jacksonville, TX 75766 2011-06-20
1306031018 Michael Kay Moore Occupational Therapist 4155 Cr 3908, Jacksonville, TX 75766 2007-09-06
1730398827 Cherokee County Health Department Public Health or Welfare 510 East Commerce, Jacksonville, TX 75766 2007-05-22
1568689545 Mary Alice Bone Preventive Medicine 510 E. Commerce, Jacksonville, TX 75766 2007-04-19
1619093176 Assisted Living Concepts Inc Assisted Living Facility 211 Phillip Street, Jacksonville, TX 75766 2007-03-22
1265560767 Anderson Cherokee Community Enrichment Services Counselor 1011 College Ave, Jacksonville, TX 75766 2007-02-28
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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598182552 Maedeh Ganji Internal Medicine 653 W 8th St # L-18, Jacksonville, FL 32209-6511 2014-03-27
1649696691 Carolinaeast Physicians Internal Medicine 4725 Western Blvd, Jacksonville, NC 28546-6852 2014-03-14
1093151888 Alejandro Pena Jr. Internal Medicine 14546 Old St Augustine Rd Suite 201, Jacksonville, FL 32258-2612 2013-05-20
1669696407 Ruple Jayantilal Galani Internal Medicine 14546 Old Saint Augustine Rd Ste 103, Credentialing Department, Jacksonville, FL 32258-5469 2007-04-12
1154408656 Heart Clinic of Jacksonville, LLC Internal Medicine 9551 Baymeadows Rd Ste 6, Jacksonville, FL 32256-7938 2006-11-01
1487757092 Cardiovascular Associates of Jacksonville Pa Internal Medicine 3599 University Blvd South, Suite 913, Jacksonville, FL 32216-4269 2006-09-07
1316958838 Valerie Mcnee Internal Medicine 1 Red Fox Ln, Jacksonville, AR 72076-2513 2006-08-10
1306895438 Diagnostic Cardiology Pa Internal Medicine 6867 South Point Drive N, Suite 111, Jacksonville, FL 32216-8005 2006-05-08
1790743854 Baptist Cardiology, Inc. Internal Medicine 1905 Corporate Square Blvd, Jacksonville, FL 32216-1940 2006-05-01
1386601896 James C Campbell Internal Medicine 3225 University Blvd S Ste 104, Credentialing Department, Jacksonville, FL 32216-2757 2006-04-27
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Competitor

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City JACKSONVILLE
Zip Code 75766

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Dataset Information

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.

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