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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
E0426 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 135664409 | 05 | |
TX | RAILROAD MEDICARE | 060069620 | 01 |
TX | SUPERIOR | 122432 | 01 |
TX | BLUE CROSS | 8G2254 | 01 |
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 |
Street Address |
203 NACOGDOCHES ST STE 240 |
City | JACKSONVILLE |
State | TX |
Zip Code | 75766-2462 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 75766 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
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. |
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 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 75766 |
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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.