Andrea Michelle Cooper (NPI# 1093996134, PAC ID# 0749350510) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1093996134 |
| PAC ID by PECOS | 0749350510 |
| Professional Enrollment ID | I20080605000243 |
| Full Name | Andrea Michelle Cooper |
| Organization Legal Name | ST. BERNARDS CLINICS INC |
| Address |
1001 E Moultrie Fresenius Dialysis Blytheville AR 72315-6867 |
| Phone Number | 8707627700 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8921287087 |
| Number of Group Practice Members | 44 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040039 | ARKANSAS METHODIST MEDICAL CENTER |
| 040020 | ST BERNARDS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1001 E Moultrie, Fresenius Dialysis, Blytheville, AR 72315-6867 | 8707627700 | ST. BERNARDS CLINICS INC |
| 1007 E Matthews, Clopton Clinic Gastroenterology, Jonesboro, AR 72401-4308 | 8703360472 | ST. BERNARDS CLINICS INC |
| 300 Carson St, Jonesboro, AR 72401-3104 | 8709321198 | ST. BERNARDS CLINICS INC |
| 1207 State Route V V, Kennett, MO 63857-3823 | 5738880222 | ST. BERNARDS CLINICS INC |
| 1332 W Keiser Ave, Davita Osceola, Osceola, AR 72370-2919 | 8705634901 | ST. BERNARDS CLINICS INC |
| 1420 W Keiser Ave, St Bernards Dialysis Clinic Osceola, Osceola, AR 72370-2919 | 8702074100 | ST. BERNARDS CLINICS INC |
| Organization Legal Name | ST. BERNARDS CLINICS INC |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly D Daniels | Nurse Practitioner | St. Bernards Clinics Inc | 1007 E Matthews, Clopton Clinic Gastroenterology, Jonesboro, AR 72401-4308 |
| Heather Louise Thatcher | Nurse Practitioner | St. Bernards Clinics Inc | 310 S Falls Blvd, Crossridge Community Hospital, Wynne, AR 72396-3013 |
| James R Maxwell | Nephrology | St. Bernards Clinics Inc | 139 W Hwy 64 100, Dci Mccrory, Mccrory, AR 72101-8263 |
| Joseph Md Kueter | Urology | St. Bernards Clinics Inc | 300 Carson St, Jonesboro, AR 72401-3104 |
| Jeffrey Stidman | Gastroenterology | St. Bernards Clinics Inc | 300 Carson St, Jonesboro, AR 72401-3104 |
| Tammy R Hawkins | Nurse Practitioner | St. Bernards Clinics Inc | 300 Carson St, Jonesboro, AR 72401-3104 |
| Rhonda Lee Hill | Nurse Practitioner | St. Bernards Clinics Inc | 300 Carson St, Jonesboro, AR 72401-3104 |
| John F Ball | Orthopedic Surgery | St. Bernards Clinics Inc | 300 Carson St, Jonesboro, AR 72401-3104 |
| Barry M Garner | Gastroenterology | St. Bernards Clinics Inc | 310 S Falls Blvd, Crossridge Community Hospital, Wynne, AR 72396-3013 |
| Amanda S Thomas | Nurse Practitioner | St. Bernards Clinics Inc | 300 Carson St, Jonesboro, AR 72401-3104 |
| Street Address |
1001 E MOULTRIE FRESENIUS DIALYSIS |
| City | BLYTHEVILLE |
| State | AR |
| Zip | 72315-6867 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Clinton B Edwards | Nephrology | St. Bernards Clinics Inc | 1001 E Moultrie, Fresenius Dialysis, Blytheville, AR 72315-6867 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victoria Lee Jacoby | Nurse Practitioner | Mississippi County Hospital System | 1521 N 10th St A, Great River Women's Clinic, Blytheville, AR 72315-1424 |
| Karen C Hester | Pediatric Medicine | Family Medicine Associates of Blytheville Pa | 1521 N 10th St, Suite C, Blytheville, AR 72315-1424 |
| Anthony Daniels | Obstetrics/gynecology | Mississippi County Hospital System | 1521 N 10th St A, Great River Women's Clinic, Blytheville, AR 72315-1424 |
| Richard L Hester | Internal Medicine | Family Medicine Associates of Blytheville Pa | 1521 N 10th St, Suite C, Blytheville, AR 72315-1424 |
| Ronnie Wayne Dennis | Obstetrics/gynecology | Mississippi County Hospital System | 1521 N 10th St A, Great River Women's Clinic, Blytheville, AR 72315-1424 |
| Chimere A Ashley | Family Medicine | Mississippi County Hospital System | 1521 N 10th St A, Great River Women's Clinic, Blytheville, AR 72315-1424 |
| James D. Russell | General Practice | Family Medicine Associates of Blytheville Pa | 1521 N 10th St, Suite C, Blytheville, AR 72315-1424 |
| Connie Kay Ash | Nurse Practitioner | Family Medicine Associates of Blytheville Pa | 1521 N 10th St, Suite C, Blytheville, AR 72315-1424 |
| Jonathan D White | Family Medicine | Diffine Family Practice Pllc | 1100 Medical Plaza Dr, Suite C, Blytheville, AR 72315-1425 |
| Ahmed Hussain | Urology | Mississippi County Hospital System | 1100 Medical Dr, Blytheville, AR 72315-1425 |
| Find all physicians in zip 72315 | |||
| City | BLYTHEVILLE |
| Zip Code | 72315 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BLYTHEVILLE + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.