JEFFREY C COOPER (NPI# 1871562975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871562975 |
| Entity Type | Individual |
| Full Name | JEFFREY C COOPER |
| Credential | MD |
| Practice Address |
211 N Eddy St South Bend IN 46617-2808 |
| Practice Telephone | 5742434450 |
| Practice Fax Number | 5742434405 |
| Mailing Telephone | 5742434450 |
| Mailing Fax Number | 5742434405 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2014-11-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 01043721A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200038580 | 05 | |
| IN | ANTHEM PROVIDER NUMBER | 000000110542 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902230402 | Jeffrey D. Cooper | Audiologist-Hearing Aid Fitter | 76c County Road 6500, Kirtland, NM 87417-9402 | 2013-09-03 |
| 1205961364 | Jeffrey Cooper | Nuclear Medicine | 6565 Washington Blvd, Arlington, VA 22205-1955 | 2007-02-22 |
| 1639239205 | Jeffrey Cooper | Physician Assistant | 39120 Argonaut Way # 275, Fremont, CA 94538-1304 | 2006-12-12 |
| 1295800050 | Jeffrey Cooper | Optometrist | 1448 86th St, Brooklyn, NY 11228-3429 | 2006-11-21 |
| 1639273063 | Jeffrey S Cooper | Dentist | 42 N Franklin Tpk, Ramsey, NJ 07446 | 2006-09-07 |
| 1457383788 | Jeffrey D Cooper | Pediatrics | 3645a Howell Ferry Road, Duluth, GA 30096 | 2006-07-07 |
| 1710959374 | Jeffrey Stephen Cooper | Specialist/Technologist | 1 Citizens Bank Way, Philadelphia, PA 19148-5205 | 2006-02-07 |
| 1053316927 | Jeffrey Scott Cooper | Emergency Medicine | 987400 Nebraska Medical Ctr, Omaha, NE 68198 | 2005-06-16 |
| 1205398450 | Jeffrey Austin Cooper | Student in an Organized Health Care Education/Training Program | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2019-04-04 |
| 1386164671 | Jeffrey Kyle Cooper | General Practice | 101 E Wood St, Spartanburg, SC 29303-3040 | 2017-06-27 |
| Street Address |
211 N EDDY ST |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46617-2808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073511598 | Ron Clark | Orthopaedic Surgery | 211 N Eddy St, South Bend, IN 46617-2808 | 2005-07-08 |
| 1760082002 | Nicole A Scheidler | Nurse Practitioner | 211 N Eddy St, South Bend, IN 46617-3096 | 2020-10-27 |
| 1205473451 | Integrative Care Partners LLC | Specialist | 211 N Eddy St, South Bend, IN 46617-2808 | 2019-12-06 |
| 1144882069 | Briana R Weidler-edholm | Nurse Practitioner | 211 N Eddy St, South Bend, IN 46617-3096 | 2019-07-01 |
| 1861052029 | Suzanne Marie Holmes | Nurse Practitioner | 211 N Eddy St, South Bend, IN 46617-3096 | 2019-06-19 |
| 1609436864 | Philip D Dibert | Nurse Practitioner | 211 N Eddy St, South Bend, IN 46617-3096 | 2019-06-19 |
| 1851865174 | Jessica S Evans | Nurse Practitioner | 211 N Eddy St, South Bend, IN 46617-2808 | 2019-01-21 |
| 1467929570 | Sabrina Jovita Lopez | Nurse Practitioner | 211 N Eddy St, South Bend, IN 46617-2808 | 2018-10-26 |
| 1326515701 | Kara L Kaiser | Nurse Practitioner | 211 N Eddy St, South Bend, IN 46617-2808 | 2018-10-24 |
| 1962902254 | Sarah Sue Humes | Registered Nurse | 211 N Eddy St, South Bend, IN 46617 | 2018-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740731116 | Jack Mcintyre Kimmell | Specialist/Technologist | 1526 East Lasalle, South Bend, IN 46617 | 2016-10-20 |
| 1023429115 | Morning View Assisted Living LLC | Assisted Living Facility | 475 N. Niles Avenue, South Bend, IN 46617 | 2014-05-12 |
| 1265861231 | Rebecca Busenbark | Physical Therapist | 401 E Colfax Ave Ste 102, South Bend, IN 46617 | 2013-11-11 |
| 1962709071 | Doreen Danice Huddleston | Social Worker | 928 East Wayne St, Suit C, South Bend, IN 46617 | 2011-02-25 |
| 1487981734 | Mary Cecilia Roemer | Marriage & Family Therapist | 616 E. Colfax Ave, South Bend, IN 46617 | 2009-11-06 |
| 1225264054 | Sridhar Meda | Dentist | 1005 East Lasalle Ave, South Bend, IN 46617 | 2009-06-08 |
| 1063673531 | Madeline Christina Watkins | Counselor | 616 E Colfax, South Bend, IN 46617 | 2008-06-18 |
| 1437366481 | Michael Reed Johns | Dentist | 103 South Eddy Street, South Bend, IN 46617 | 2007-05-17 |
| 1194937680 | Sarah Elizabeth Redman | Specialist/Technologist | 53880 Carmichael Dr., South Bend, IN 46617 | 2007-05-04 |
| 1124241211 | Trixy Franke | Family Medicine | 837 E. Cedar St., Ste 100, South Bend, IN 46617 | 2007-04-10 |
| Find all providers in zip 46617 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801152210 | Richard James Holloway | Urology | 18799 Arapaho Ln, South Bend, IN 46637 | 2012-04-10 |
| 1639467517 | Roger William Jump IIi | Urology | 6301 University Commons, Suite 350, South Bend, IN 46635-1571 | 2011-07-13 |
| 1649505645 | Allied Physicians of Michiana, LLC | Urology | 6301 University Commons, Suite 350, South Bend, IN 46635-1571 | 2009-10-08 |
| 1063438117 | Urology Associates of South Bend, PC | Urology | 707 Cedar St, Suite #450, South Bend, IN 46617-2054 | 2006-07-14 |
| 1689627812 | Beacon Medical Group | Urology | 100 Navarre Pl, Suite 4400, South Bend, IN 46601-1156 | 2006-05-18 |
| 1902880107 | Mark Ernest Toth | Urology | 100 Navarre Pl, Ste. 4400, South Bend, IN 46601-1156 | 2005-12-01 |
| 1831194919 | John Anthony Hudak | Urology | 6301 University Commons, Ste 350, South Bend, IN 46635-1571 | 2005-06-16 |
| 1548265622 | Arthur Philip Depauw | Urology | 6301 University Commons, Ste 350, South Bend, IN 46635-1571 | 2005-06-16 |
| 1427053511 | William Henry Stonehill | Urology | 6301 University Commons, Ste 350, South Bend, IN 46635-1571 | 2005-06-16 |
| 1811992803 | Kathleen Marie Delnay | Urology | 6301 University Commons, Ste 350, South Bend, IN 46635-1571 | 2005-06-16 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46617 |
Please comment or provide details below to improve the information on JEFFREY C COOPER.
| 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.