COOPER CLINIC PA (NPI# 1811013428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811013428 |
| Entity Type | Organization |
| Organization Name | COOPER CLINIC PA |
| Practice Address |
9101 Jenny Lind Rd Fort Smith AR 72908-9142 |
| Mailing Address |
Po Box 3528 Fort Smith AR 72913-3528 |
| Practice Telephone | 4792745600 |
| Practice Fax Number | 4796466069 |
| Mailing Telephone | 4792742000 |
| Mailing Fax Number | 4792742194 |
| Enumeration Date | 2007-03-22 |
| 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 | 207K00000X | Allergy & Immunology | MC-0254 | AR | Allopathic & Osteopathic Physicians |
| 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 |
| 1710214010 | Cooper Clinic Pa | Podiatrist | 600 S 21st St, Fort Smith, AR 72901-3915 | 2009-11-06 |
| 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 |
| Street Address |
9101 JENNY LIND RD |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72908-9142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740201474 | Cooper Clinic, Pa | Clinic/Center | 9101 Jenny Lind Rd, Fort Smith, AR 72908-9142 | 2006-07-21 |
| 1538649231 | Bentlee Katherine Rundell | Nurse Practitioner | 9101 Jenny Lind Rd, Fort Smith, AR 72908-9142 | 2018-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396224069 | Baptist Health Services | Family Medicine | 8600 S 36th Ter Ste A, Fort Smith, AR 72908 | 2018-08-13 |
| 1609355528 | Baptist Health Services | Family Medicine | 8600 S 36th Ter Ste B, Fort Smith, AR 72908 | 2018-08-10 |
| 1578840765 | Thomas Macmahon | Counselor | 2505 Ramsgate Way, Fort Smith, AR 72908 | 2011-11-16 |
| 1790991453 | Dr Tom A Wood Chiropractic Inc | Chiropractor | 6108 S 31st Street, Ft Smith, AR 72908 | 2007-05-16 |
| 1952317687 | Health Depot Pharmacies, LLC | Durable Medical Equipment & Medical Supplies | 7700 Hwy 271 South, Fort Smith, AR 72908 | 2006-08-01 |
| 1609879808 | Health Depot Pharmacies, LLC | Durable Medical Equipment & Medical Supplies | 7700 Hwy 271 S, Ft. Smith, AR 72908 | 2005-05-23 |
| 1912415563 | Dr. Shane F. Laster P.a. | Optometrist | 9001 Jenny Lind Rd, Fort Smith, AR 72908 | 2018-01-17 |
| 1700962438 | Kristin L Efurd | Speech-Language Pathologist | 3520 Glen Flora Way, Fort Smith, AR 72908-0719 | 2006-10-27 |
| 1760658488 | Hillaree Tiffee | Occupational Therapist | 3409 Coventry Ln, Fort Smith, AR 72908-0777 | 2008-05-02 |
| 1588051031 | Olivia Morgan Lensing | Speech-Language Pathologist | 10808 Saint Anthony Ct, Fort Smith, AR 72908-0789 | 2015-04-22 |
| Find all providers in zip 72908 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366464711 | James T Howell | Allergy & Immunology | 3416 Old Greenwood Rd, Fort Smith, AR 72903-5462 | 2006-07-24 |
| 1932188067 | Aubrey Ziegler | Allergy & Immunology | 520 Towson Ave Ste A, Fort Smith, AR 72901-4624 | 2006-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275968786 | Bill F Hefley Sr. | Allergy & Immunology | 361 Valley Club Circle, Little Rock, AR 72212 | 2013-09-04 |
| 1972850907 | Kelsy J Caplinger | Allergy & Immunology | 12400 Hunters Glen Blvd, #37, Little Rock, AR 72211-2232 | 2012-08-09 |
| 1710218995 | Medical Associates of Northwest Arkansas | Allergy & Immunology | 3383 N Mana Ct, Suite 201, Fayetteville, AR 72703-4960 | 2010-01-27 |
| 1881623965 | Curtis Lars Hedberg | Allergy & Immunology | 700 S 52nd St, Rogers, AR 72758 | 2006-07-01 |
| 1467497461 | Brian D Jackson | Allergy & Immunology | 151 Harmony Park Circle, Hot Springs, AR 71913 | 2006-06-17 |
| 1609837459 | Arkansas Allergy & Asthma Clinic, P.a. | Allergy & Immunology | 400 Salem Rd, Suite 4, Conway, AR 72034-6162 | 2006-03-31 |
| 1568423309 | Arkansas Allergy & Asthma Clinic, P.a. | Allergy & Immunology | 2504 Mccain Blvd, Suite 118, North Little Rock, AR 72116-7608 | 2006-03-31 |
| 1447226477 | Jerry Lynn Potts | Allergy & Immunology | 1408 W 43rd Ave, Pine Bluff, AR 71603-7010 | 2006-02-28 |
| 1598744625 | Lori M Kagy | Allergy & Immunology | 5 Executive Center Ct, Little Rock, AR 72211-4375 | 2006-01-17 |
| 1891787974 | Gene Louis France | Allergy & Immunology | 18 Corporate Hill Dr, Suite 110, Little Rock, AR 72205-4549 | 2005-08-16 |
| Find all providers with the same taxonomy | ||||
| City | FORT SMITH |
| Zip Code | 72908 |
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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.