JONATHAN M COOPER (NPI# 1720028830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720028830 |
| Entity Type | Individual |
| Full Name | JONATHAN M COOPER |
| Credential | DO |
| Practice Address |
2700 Vikings Cir Eagan MN 55121 |
| Mailing Address |
4200 Dahlberg Dr Ste 300 Golden Valley MN 55422-4841 |
| Practice Telephone | 9524567600 |
| Practice Fax Number | 9524567601 |
| Mailing Telephone | 7635207870 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2019-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
47491 | MN | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
49214-021 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | DRUG ENFORCEMENT ADMIN | BC7557741 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 435 Phalen Blvd, Healthpartners Speciality Center 435, St. Paul, MN 551305302 | 6512548300 | 6512548379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235788621 | Jonathan Kyle Cooper | Driver | 2312 Drake Ln, Fredericksburg, VA 22408-0300 | 2019-09-09 |
| 1457552713 | Jonathan David Cooper | Social Worker | 322 Charles St, West Hempstead, NY 11552-3202 | 2007-05-31 |
| 1104041920 | Jonathan Scott Cooper | Dentist | 3916 E 91st St, Tulsa, OK 74137-3602 | 2007-04-16 |
| 1497723522 | Jonathan S Cooper | Family Medicine | 806 Hogsback Rd, Suite C, Mason, MI 48854 | 2006-03-14 |
| 1588640106 | Jonathan Edwards Cooper | Physical Medicine & Rehabilitation | St. Peter's Nursing & Rehab. Center, South Manning Blvd. and Hackett Blvd., Albany, NY 12208-8897 | 2005-12-15 |
| 1407856222 | Jonathan D Cooper | Otolaryngology | 2500 Weston Rd, Suite 103, Weston, FL 33331-3615 | 2005-07-22 |
| Street Address |
2700 VIKINGS CIR |
| City | EAGAN |
| State | MN |
| Zip Code | 55121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275581795 | Jason Lavern Eggers | Chiropractor | 2700 Vikings Cir, Eagan, MN 55121-1002 | 2006-05-05 |
| 1013554682 | Stephanie Anne Ham | Physical Therapist | 2700 Vikings Cir, Eagan, MN 55121-1002 | 2019-12-03 |
| 1649831363 | Lucas Daniel Richer | Occupational Therapist | 2700 Vikings Cir, Eagan, MN 55121-1002 | 2019-06-24 |
| 1114494606 | Blake R Huppert | Physical Therapist | 2700 Vikings Cir, Eagan, MN 55121-1002 | 2018-11-01 |
| 1629576467 | Infinite Health Collaborative, Pa | Durable Medical Equipment & Medical Supplies | 2700 Vikings Cir, Eagan, MN 55121-1002 | 2018-01-26 |
| 1043720451 | Chee Vang | Physical Therapist | 2700 Vikings Cir, Eagan, MN 55121 | 2017-10-11 |
| 1811439748 | Grant Blasczyk | Physical Therapist | 2700 Vikings Cir, Eagan, MN 55121-1002 | 2016-11-09 |
| 1326580549 | Lukas David Cash | Physical Therapist | 2700 Vikings Cir, Eagan, MN 55121 | 2016-11-07 |
| 1386193035 | Alexander Todd Barney | Physical Therapist | 2700 Vikings Cir, Eagan, MN 55121 | 2016-09-22 |
| 1710431846 | Gabrielle Morgan Dahl | Physical Therapist | 2700 Vikings Cir, Eagan, MN 55121 | 2016-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205443850 | Birchwood Dental, LLC | Dentist | 3356 Sherman Crt Ste 101, Eagan, MN 55121 | 2020-09-28 |
| 1811552813 | Clare Muyskens | Physical Therapist | 3305 Central Park Commons Dr, Eagan, MN 55121 | 2019-05-06 |
| 1154986479 | Elp Right Living Health LLC | Assisted Living Facility | 3035 Eagandale Pl #101, Eagan, MN 55121 | 2019-05-02 |
| 1467908699 | Hy Vee Inc | Pharmacy | 1500 Central Park Commons Drive, Eagan, MN 55121 | 2016-08-28 |
| 1962861005 | Lakeline Transportation LLC | Non-emergency Medical Transport (VAN) | 1416 Shoreline Dr, Eagan, MN 55121 | 2016-02-17 |
| 1467838615 | John Berchem | Physical Therapist | 1284 Coporate Center Drive, #500, Eagan, MN 55121 | 2015-08-10 |
| 1730426099 | Carole P Cohen | Occupational Therapist | 880 Blue Gentian Road, Ste # 190, Eagan, MN 55121 | 2013-01-07 |
| 1407102882 | Emergency Physicians Professional Association | Clinic/Center | 3010 Denmark Avenue, Eagan, MN 55121 | 2012-08-03 |
| 1851692289 | Eagan Family Chiropractic & Massage | Chiropractor | 1260 Yankee Doodle Road, Suite 100, Eagan, MN 55121 | 2010-11-17 |
| 1780805218 | Bridget Marie Mcconnell | Social Worker | 680 O'neill Drive, Eagan, MN 55121 | 2007-05-01 |
| Find all providers in zip 55121 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699388447 | Erik Therrien | Orthopaedic Surgery | Mayo Clinic 200 1st St Sw Rochester Mn 55905, Rochester, MN 55905-0001 | 2020-08-30 |
| 1619950839 | Bradley James Nelson | Orthopaedic Surgery | 2512 S 7th St, Department of Orthopaedics, R200, Minneapolis, MN 55454-1404 | 2005-11-22 |
| 1902381148 | Richard Kyle Maciver Martin | Orthopaedic Surgery | 200 1st St Sw, Rochester, MN 55905-0001 | 2018-10-02 |
| 1174008288 | Maen Abou-ghaida | Orthopaedic Surgery | 323 S Minnesota St, Crookston, MN 56716-1601 | 2018-09-25 |
| 1821502154 | Michael Blake Jacob | Orthopaedic Surgery | 2855 Campus Dr, Plymouth, MN 55441-2649 | 2017-11-22 |
| 1386007417 | Summit Orthopedics, Ltd | Orthopaedic Surgery | 4123 Radio Drive, Ste 100, Woodbury, MN 55129 | 2016-04-05 |
| 1528438116 | Minnesota State University | Orthopaedic Surgery | 135 Myers Fieldhouse, Mankato, MN 56001-6171 | 2015-09-25 |
| 1851705057 | Jonathan James Harvey | Orthopaedic Surgery | 111 17th Ave E Ste 101, Alexandria, MN 56308-5274 | 2014-06-16 |
| 1861802019 | Adam Morgan Johannsen | Orthopaedic Surgery | 14000 Fairview Dr, Burnsville, MN 55337-5713 | 2014-04-28 |
| 1508156571 | Ryan Robert Fader | Orthopaedic Surgery | 8100 W 78th St Ste 225, Edina, MN 55439-2569 | 2011-04-12 |
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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.