JENNIFER MICKLE COOPER


Address: 2295 E 14th St Ste 100, Winston Salem, NC 27105-6804
Phone: 3367138860

JENNIFER MICKLE COOPER (NPI# 1760700736) 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) 1760700736
Entity Type Individual
Full Name JENNIFER MICKLE COOPER
Credential M.D.
Practice Address 2295 E 14th St Ste 100
Winston Salem
NC 27105-6804
Mailing Address Po Box 602658
Charlotte
NC 28260-2658
Practice Telephone 3367138860
Practice Fax Number 3367138862
Mailing Telephone 3367162011
Enumeration Date 2010-05-14
Last Update Date 2017-11-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 2013-00225 NC Allopathic & Osteopathic Physicians
N 208000000X Pediatrics ME126708 FL Allopathic & Osteopathic Physicians
N 208000000X Pediatrics 120534 OH Allopathic & Osteopathic Physicians

Other Providers JENNIFER COOPER

NPI Name Taxonomy Address Enumeration
1548879521 Jennifer Cooper Technician 809 Quincy St, Parkersburg, WV 26101-4703 2020-07-27
1942838180 Jennifer Cooper Occupational Therapy Assistant 228 Stutely Ln, Springfield, IL 62704-5234 2020-04-01
1861910176 Jennifer Adella Cooper Counselor 4516 Oakberry Ct, Matthews, NC 28104-7744 2017-09-07
1275081374 Jennifer Cooper Occupational Therapy Assistant 213 S Westgate Dr, Peotone, IL 60468-9808 2016-09-17
1265835896 Jennifer Mcgrory Cooper Psychologist 100 Belpre Pl W, Westerville, OH 43081-1235 2014-09-26
1952703902 Jennifer Cooper Physical Therapy Assistant 225 Custers Ridge Rd, Boones Mill, VA 24065-3694 2014-09-22
1295150001 Jennifer M Cooper Social Worker 518 Terrace Ave, Toms River, NJ 08753-7734 2014-03-03
1063759231 Jennifer Cooper Counselor 3500 Ne Mlk Blvd Ste 200, Portland, OR 97212-2093 2013-01-08
1194077842 Jennifer Lauren Cooper Speech-Language Pathologist 225 E 63rd St Apt 3m, New York, NY 10065-0272 2012-10-04
1801163852 Jennifer Cooper Licensed Practical Nurse 270 Westmar Dr, Rochester, NY 14624-2554 2011-11-18

Office Location

Street Address 2295 E 14TH ST STE 100
City WINSTON SALEM
State NC
Zip Code 27105-6804

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629358742 Sukirti Bista Pediatrics 2295 E 14th St Ste 100, Winston Salem, NC 27105-6804 2011-08-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346711827 Allison Colette Steinhaus Counselor 8025 Northpoint Blvd, Winston Salem, NC 27105 2018-12-10
1033600382 Alterman & Dhillon Piedmont, Pplc Dentist 336 E Hanes Mill Rd, Winston Salem, NC 27105 2018-05-22
1336676030 Goldsmith Quality Care LLC. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 132 Jazer Ln, Winston Salem, NC 27105 2017-05-12
1427459981 Tammy Bartlett Physical Therapy Assistant 4850 Sandusky St., Winston Salem, NC 27105 2014-09-15
1194154229 Marla C Torrence Counselor 4140 N. Cherry Street, Winston Salem, NC 27105 2013-11-08
1629313051 Lydia L. Barber Counselor 420 Forest Hills Ave, Winston Salem, NC 27105 2012-12-12
1023362530 Helen Doby Martin Home Health Aide 4782 Butchwood Drive, Winston-salem, NC 27105 2012-11-06
1740545284 Hines Good Samaritan Home Technician 2219 Manchester St., Winston-salem, NC 27105 2012-07-11
1043518129 Alda Petra Bernardez Pharmacist 3539 Patterson Avenue, Winston Salem, NC 27105 2011-03-14
1225336449 Alia Khaled Al-asfar Pharmacist 3539 Patterson Avenue., Winston Salem, NC 27105 2011-03-11
Find all providers in zip 27105

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609223601 Ashmitha Raja Pediatrics Medical Centre Blvd, Winston Salem, NC 27157-0001 2016-05-19
1598128050 Rebecca Palmer Pediatrics Brenner Childrens Hospital 300 Medical Blvd, Dept of Pediatrics, Winston Salem, NC 27157-0001 2016-04-01
1396131157 Sarah Barnes Bingham Pediatrics One Medical Center Boulevard Emergency Medicine, Winston Salem, NC 27157 2015-04-08
1841685849 Anna Hang Verenes Pediatrics Wake Forest Baptist Health Pediatrics, Medical Center Blvd, Winston Salem, NC 27157 2015-04-06
1568875227 Kimberly Myers Pediatrics Wake Forest Baptist Medical, Medical Center Blvd, Winston Salem, NC 27157-0001 2014-06-10
1215179700 Cyndy Edwards Lively Pediatrics 1417 Brookstown Ave, Winston Salem, NC 27101-1126 2009-03-30
1205003274 Bahar Emily Esmaili Pediatrics Wake Forest University Baptist Hospital, Medical Center Blvd, Winston Salem, NC 27157-0001 2008-05-09
1922274240 Mdfamily Medical Group Pediatrics 138 S Cherry St, Winston Salem, NC 27101-5272 2008-05-06
1083714364 Lia Simpson Erickson Pediatrics 648 East Monmouth Street, Winston Salem, NC 27107 2006-09-25
1558300913 Lura W Stagg Pediatrics 2909 Maplewood Ave, Winston Salem, NC 27103-4009 2006-06-04
Find all providers in WINSTON SALEM

Competitor

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City WINSTON SALEM
Zip Code 27105

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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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