MARK C COOPER (NPI# 1962427351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962427351 |
| Entity Type | Individual |
| Full Name | MARK C COOPER |
| Credential | MD |
| Practice Address |
1702 University Dr S Fargo ND 58103-4940 |
| Mailing Address |
Po Box 6001 Fargo ND 58108-6001 |
| Practice Telephone | 7013643300 |
| Practice Fax Number | 7013648906 |
| Mailing Telephone | 7013643300 |
| Mailing Fax Number | 7013648906 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2011-11-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
5943 | ND | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | MNBS # | 34Q70CO | 01 |
| ND | UCARE# | 142005 | 01 |
| MN | MNBS # | 4F531CO | 01 |
| ND | LHS # | ND200010 | 01 |
| ND | MEDICA # | 2400078 | 01 |
| ND | HEALTHPARTNERS # | HP25729 | 01 |
| ND | NDBS # | 10269 | 01 |
| MN | MNBS # | 2F531CO | 01 |
| ND | DEA # | BC1905112 | 01 |
| ND | PREFERRED ONE # | DA9011015524 | 01 |
| ND | MNBS # | 28131CO | 01 |
| ND | 16443 | 05 | |
| ND | 276202100 | 05 | |
| ND | AMERICA'S PPO/ARAZ # | 676557 | 01 |
| ND | MEDICA # | 2400032 | 01 |
| 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 |
| 1861453334 | Mark Abe Cooper | Physician Assistant | 1895 Kingsley Ave., Suite 303, Orange Park, FL 32073 | 2006-03-31 |
| 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 |
| Street Address |
1702 UNIVERSITY DR S |
| City | FARGO |
| State | ND |
| Zip Code | 58103-4940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245223023 | Kimberly Rae Kelly | Dermatology | 1702 University Dr S, Fargo, ND 58103-4940 | 2005-08-26 |
| 1467060046 | Jessica Marie Munro | Optometrist | 1702 University Dr S, Fargo, ND 58103-4940 | 2020-07-20 |
| 1972132249 | Kalee Irene Wysuph | Student in an Organized Health Care Education/Training Program | 1702 University Dr S, Fargo, ND 58103-4940 | 2020-04-07 |
| 1699314617 | April M Sweet | Nurse Practitioner | 1702 University Dr S, Fargo, ND 58103-4940 | 2019-12-23 |
| 1427603588 | Annelise Sterneman | Nurse Practitioner | 1702 University Dr S, Fargo, ND 58103-4940 | 2019-08-06 |
| 1518511799 | Morgan A Schmitz | Nurse Practitioner | 1702 University Dr S, Fargo, ND 58103-4940 | 2019-07-26 |
| 1093367799 | Josalyn J Grueneich | Nurse Practitioner | 1702 University Dr S, Fargo, ND 58103-4940 | 2019-07-12 |
| 1295395176 | Amanda J Coronato | Occupational Therapist | 1702 University Dr S, Fargo, ND 58103-4940 | 2019-06-13 |
| 1962976068 | Moriah M Anderson | Dietitian, Registered | 1702 University Dr S, Fargo, ND 58103-4940 | 2019-01-11 |
| 1811489743 | Karli Lenae Roman | Nurse Practitioner | 1702 University Dr S, Fargo, ND 58103-4940 | 2018-06-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659924843 | Amanda Hericks | Dentist | 1338 Gateway Drive S, Fargo, ND 58103 | 2019-07-17 |
| 1285298240 | Ann Louise Breen | Optometrist | Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 | 2019-04-25 |
| 1245706597 | Lisa Elaine Livingston | Counselor | 1337 14 and Half St. S., Fargo, ND 58103 | 2018-10-15 |
| 1528569662 | Misty Lynn Hagen | Counselor | 901 28th St. South, Suite B, Fargo, ND 58103 | 2018-02-23 |
| 1083133011 | Faith Homecare Professionals LLC | Home Health | 304 25th St S, Suite B, Fargo, ND 58103 | 2017-09-11 |
| 1982138749 | Matthew Troyer | Pharmacist | 2425 13th Ave, Fargo, ND 58103 | 2017-04-18 |
| 1801338504 | Amy Nguyen Christianson | Chiropractor | 1650 45th St S Ste 113, Fargo, ND 58103 | 2016-11-11 |
| 1245772359 | Andrea Marie Hanson | Nurse Practitioner | 2400 32nd Ave South, Fargo, ND 58103 | 2016-11-07 |
| 1831647940 | Abigail Carmen Burkett Vetter | Nurse Practitioner | 2928 University Dr S Suite 101, Fargo, ND 58103 | 2016-09-18 |
| 1013361302 | Nancy Knowlton | Speech-Language Pathologist | 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 | 2016-04-22 |
| Find all providers in zip 58103 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811415664 | Bismarck Christian Odei | Radiology | 4278 51st St S, Fargo, ND 58104-3315 | 2017-08-31 |
| 1205247913 | Sommer Rae Wild Nurkic | Radiology | 820 4th St N, Fargo, ND 58102-4539 | 2014-05-15 |
| 1629369830 | Miran Joel Blanchard | Radiology | 820 4th St N, Fargo, ND 58102-4539 | 2011-04-21 |
| 1104025113 | Joni Buechler-price | Radiology | 1702 University Dr S, Fargo, ND 58103-4940 | 2007-07-11 |
| 1992729230 | Ashley W Jensen | Radiology | 820 4th St N, Fargo, ND 58102-4539 | 2006-07-27 |
| 1811915515 | Robert M Arusell | Radiology | 820 4th St N, Fargo, ND 58122-0001 | 2006-07-18 |
| 1275551830 | John J Keating | Radiology | 820 4th St N, Fargo, ND 58122-0001 | 2006-07-18 |
| 1114945847 | Dennis E Bier | Radiology | 820 4th St N, Fargo, ND 58122-0001 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578679130 | Glen R Hyland | Radiology | 311 N Mandan St Ste 1, Bismarck, ND 58501 | 2006-08-23 |
| 1972571032 | Joann Marie Leahy | Radiology | 500 N 8th St, Bismarck, ND 58501-4445 | 2006-03-14 |
| 1356585293 | Tarek A Dufan | Radiology | 500 N 8th St, Bismarck, ND 58501-4445 | 2009-04-22 |
| 1427252014 | Grant Richard Seeger | Radiology | 960 S Columbia Rd, Grand Forks, ND 58201-4030 | 2007-06-14 |
| 1003027582 | Michael Grant | Radiology | 831 S Broadway, Suite 113, Minot, ND 58701-4636 | 2007-05-25 |
| 1235271388 | Kyle T Darras | Radiology | 7500 University Dr, Bismarck, ND 58504-9634 | 2007-02-13 |
| 1932240025 | Kathleen A Nordstrom | Radiology | 500 N 8th St, Bismarck, ND 58501-4445 | 2007-02-09 |
| 1538212162 | Bismarck Cancer Center | Radiology | 500 N 8th St, Bismarck, ND 58501-4445 | 2007-01-18 |
| 1528130127 | Northern Plains Radiation Oncology, P.C. | Radiology | 1301 15th Ave W, Williston, ND 58801-3821 | 2006-11-15 |
| 1750453361 | Lyle Harrison | Radiology | 1301 15th Ave W, Williston, ND 58801-3821 | 2006-11-15 |
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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.