MR. MARK ABE COOPER (NPI# 1861453334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861453334 |
| Entity Type | Individual |
| Full Name | MR. MARK ABE COOPER |
| Credential | P.A.-C |
| Practice Address |
1895 Kingsley Ave. Suite 303 Orange Park FL 32073 |
| Practice Telephone | 9042726161 |
| Practice Fax Number | 9042729797 |
| Mailing Telephone | 9042726161 |
| Mailing Fax Number | 9042729797 |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2009-03-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA1799 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 461070816A | 05 | |
| FL | 2907216-00 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912926411 | Mark Allen Cooper | Dentist | 3560 Old Highway 53, Clearlake, CA 95422-9251 | 2006-07-18 |
| 1225080849 | Mark C Cooper | Family Medicine | 505 Burlington St, Scottsboro, AL 35768-4216 | 2006-05-16 |
| 1497752489 | Mark Cooper | Surgery | 356 24th Ave N, Suite 400, Nashville, TN 37203-1514 | 2005-07-05 |
| 1912434127 | Mark Justin Cooper | Emergency Medicine | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2017-05-18 |
| 1518415884 | Mark Cooper | Naturopath | 1420 S 21st St, Colorado Springs, CO 80904-4204 | 2016-09-15 |
| 1588091615 | Mark Cooper | Internal Medicine | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2013-10-03 |
| 1164866430 | Mark Gregory Cooper | Internal Medicine | 1111 W 34th St Ste 200, Austin, TX 78705-1916 | 2013-04-17 |
| 1184991796 | Mark Cooper | Clinical Neuropsychologist | 243 N Highway 101, Suite 22, Solana Beach, CA 92075-1180 | 2011-11-28 |
| 1730359449 | Mark Cooper | Dentist | 11 West Ave, Route 94, Chester, NY 10918-3501 | 2008-03-10 |
| 1063611606 | Mark Cooper | Social Worker | 3130 N County Road 25a, Troy, OH 45373-1337 | 2007-07-13 |
| Street Address |
1895 KINGSLEY AVE. SUITE 303 |
| City | ORANGE PARK |
| State | FL |
| Zip Code | 32073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309423 | Kingsley Endoscopy Center LLC | Clinic/Center | 970 Kingsley Avenue, Orange Park, FL 32073 | 2020-09-01 |
| 1962028688 | Esra Sari | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue., Orange Park Medical Center, Orange Park, FL 32073 | 2020-06-18 |
| 1104441146 | Zeshan Tariq Malik | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue, Office of Graduate Medical Educa, Orange Park, FL 32073 | 2020-06-16 |
| 1902421894 | Ameer Hamza | Student in an Organized Health Care Education/Training Program | 2001, Kingsley Avenue Office of Graduate Medical Educat, Orange Park, FL 32073 | 2020-06-16 |
| 1497378103 | Fawad Ahmed Rashid | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue Office of Graduate Medical Educati, Orange Park, FL 32073 | 2020-05-28 |
| 1477174985 | Hannan Asghar | Student in an Organized Health Care Education/Training Program | Office of Graduate Medical Education 2001 Kingsley, Orange Park, FL 32073 | 2020-05-06 |
| 1902427156 | Emmanuel Iyanuloluwa Morakinyo | Student in an Organized Health Care Education/Training Program | 413 Deer View Avenue, 2001 Kingsley Ave, Orange Park, FL 32073 | 2020-04-29 |
| 1437799327 | Dalande Leger | Behavior Technician | 1563 Kingsley Ave Suite 103, Orange Park, FL 32073 | 2020-01-08 |
| 1215598313 | Mohammad Harisullah Khan | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Ave, Gme Office, Orange Park, FL 32073 | 2019-06-28 |
| 1558927970 | Preetha Kamath | Student in an Organized Health Care Education/Training Program | Orange Park Medical Center, 2001 Kingsley Ave, Orange Park, FL 32073 | 2019-05-10 |
| Find all providers in zip 32073 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417575887 | Elton Jonuzaj | Physician Assistant | 3258 Woodglen Dr, Orange Park, FL 32065-6683 | 2020-07-11 |
| 1629533740 | Brittany Hillord | Physician Assistant | 2845 Spoonbill Trl, Orange Park, FL 32073-1657 | 2019-02-02 |
| 1891210324 | Sawyer James Hinson | Physician Assistant | 1677 Wells Rd Ste C, Orange Park, FL 32073-6799 | 2017-08-05 |
| 1215485495 | Lena Haddad | Physician Assistant | 2526 Bottomridge Dr, Orange Park, FL 32065-5793 | 2016-09-15 |
| 1053664870 | Whitney E. Law | Physician Assistant | 2300 Park Ave., Nemours Childrens Clinic, Orange Park, Orange Park, FL 32073-5573 | 2012-10-17 |
| 1942332135 | Karen L Miner | Physician Assistant | 550 Wells Road, Suite 17, Orange Park, FL 32073-2951 | 2007-03-12 |
| 1225198286 | Heather S Niece | Physician Assistant | 1560 Kingsley Ave Ste 300, Orange Park, FL 32073-4593 | 2006-12-11 |
| 1225057151 | Barry G Mccullough | Physician Assistant | 2140 Kingsley Ave Ste 1, Orange Park, FL 32073-5129 | 2006-07-19 |
| 1518986074 | Maria Del Carmen Archuleta Pintor | Physician Assistant | 2021 Kingsley Ave Ste 101, Orange Park, FL 32073-5128 | 2006-07-18 |
| 1265089593 | Margaret Hayden Warren | Physician Assistant | 2300 Park Ave Ste 102, Orange Park, FL 32073 | 2019-08-21 |
| Find all providers in ORANGE PARK | ||||
| City | ORANGE PARK |
| Zip Code | 32073 |
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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.