DR. RANDALL ALLEN COOPER (NPI# 1811975667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811975667 |
| Entity Type | Individual |
| Full Name | DR. RANDALL ALLEN COOPER |
| Credential | D.P.M. |
| Practice Address |
1723 E Bristol St Elkhart IN 46514-3968 |
| Practice Telephone | 5742647180 |
| Practice Fax Number | 5742641875 |
| Mailing Telephone | 5742647180 |
| Mailing Fax Number | 5742641875 |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2010-01-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
07000384A | IN | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100112180 | 05 | |
| IN | PALMETTO GBA-RAILROAD MEDICARE | 480010783 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497923015 | Randall G. Cooper | Dentist | 9048 Mansfield Rd, Shreveport, LA 71118-2608 | 2008-02-16 |
| Street Address |
1723 E BRISTOL ST |
| City | ELKHART |
| State | IN |
| Zip Code | 46514-3968 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700364916 | Elkhart Clinic, LLC | Podiatrist | 1723 E Bristol St, Elkhart, IN 46514-3968 | 2018-07-31 |
| 1114318920 | Eifler's Elkhart Podiatry Clinic, LLC | Podiatrist | 1723 E Bristol St, Elkhart, IN 46514-3968 | 2015-02-16 |
| 1003178690 | Jeffrey Hassel Eifler | Podiatrist | 1723 E Bristol St, Ortho Office 6th Flood, Elkhart, IN 46514-3968 | 2012-06-11 |
| 1437373677 | Elkhart Podiatry Clinic, P.C. | Podiatrist | 1723 E Bristol St, Elkhart, IN 46514-3968 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891333522 | Adam Collier | Nurse Anesthetist, Certified Registered | 600 Elkhart Boulvard, Elkhart, IN 46514 | 2019-12-12 |
| 1861034688 | Heart City Health Center, Inc. | Obstetrics & Gynecology | 1545 Cassopolis Street, Elkhart, IN 46514 | 2019-10-14 |
| 1982263398 | Fresenius Medical Care North Elkhart, LLC | Clinic/Center | 801 W Bristol St, Elkhart, IN 46514 | 2019-06-10 |
| 1487118220 | Hellenic Senior Living of Elkhart, LLC | Assisted Living Facility | 2528 Bypass Road, Elkhart, IN 46514 | 2019-01-25 |
| 1922595792 | Anna Cornelia Smith | Nutritionist | 51803 Tall Pines Dr, Elkhart, IN 46514 | 2018-04-17 |
| 1114438496 | Erika Lynn Farrell | Counselor | 3120 Suite B Windsor Court, Elkhart, IN 46514 | 2017-10-13 |
| 1740728948 | Michael Scheretie | Nurse Anesthetist, Certified Registered | 52866 Wildflower Ln, Elkhart, IN 46514 | 2017-02-08 |
| 1821355876 | Marcy Lynn Adams | Nurse Practitioner | 1104 W Bristol St, Elkhart, IN 46514 | 2012-04-16 |
| 1053694265 | Paul A. Price | Pharmacist | 1400 Cassopolis St., Elkhart, IN 46514 | 2011-09-23 |
| 1528362647 | Beacon Medical Group, Inc. | Internal Medicine | 500 Arcade Ave., Suite 400, Elkhart, IN 46514 | 2011-01-04 |
| Find all providers in zip 46514 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184601429 | Benjamin Graber Lehman | Podiatrist | 145 S Nappanee St, Elkhart, IN 46514-1967 | 2005-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871192716 | Indiana Foot and Ankle Specialist LLC | Podiatrist | 2106 W Mcgalliard Rd, Muncie, IN 47304-2150 | 2020-10-21 |
| 1174020549 | Make Yourself, LLC | Podiatrist | 128 W 5th St, Peru, IN 46970-2139 | 2018-04-11 |
| 1689805061 | Fredericka Alona Wilson | Podiatrist | 4010 W 86th St Ste A, Indianapolis, IN 46268-1779 | 2009-08-03 |
| 1801032248 | Parkview Health System, Inc. | Podiatrist | 306 Maumee St, Suite 2, Angola, IN 46703-2035 | 2009-01-06 |
| 1629214069 | Parkview Health System, Inc. | Podiatrist | 410 E. Mitchell St., Kendallville, IN 46755-1890 | 2009-01-06 |
| 1811142250 | Charles W. Kelley IIi D.p.m. | Podiatrist | 5602 Madison Ave, Indianapolis, IN 46227-4625 | 2008-11-26 |
| 1780846139 | Accredited Foot Surgeons | Podiatrist | 9007 Indianapolis Blvd, Suite B, Highland, IN 46322-2575 | 2008-06-26 |
| 1952523508 | Aboite Podiatry Associates PC | Podiatrist | 7559 West Jefferson Blvd, Fort Wayne, IN 46804-4131 | 2007-05-03 |
| 1487749305 | John L Trench IIi | Podiatrist | 1216 Wabash Ave, Terre Haute, IN 47807-3312 | 2006-10-04 |
| 1770699522 | Gregory A Schweikher | Podiatrist | 2020 Union St Ste 100, Lafayette, IN 47904-2694 | 2006-08-22 |
| Find all providers with the same taxonomy | ||||
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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.