Robert W Cooper (NPI# 1194729525, PAC ID# 0749386514) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1194729525 |
| PAC ID by PECOS | 0749386514 |
| Professional Enrollment ID | I20160219001438 |
| Full Name | Robert W Cooper |
| Organization Legal Name | WILLIAMSBURG FAMILY MEDICINE CENTER |
| Address |
475 N Hwy 25 W Suite 100 Williamsburg KY 40769-1576 |
| Phone Number | 6065492933 |
| Gender | M |
| Medical School | UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE |
| Graduation Year | 1975 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2365331188 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440180 | JELLICO COMMUNITY HOSPITAL |
| 181328 | KNOX COUNTY HOSPITAL |
| 180080 | BAPTIST HEALTH CORBIN |
| Address | Phone | Organization |
|---|---|---|
| 131 Hospital Ln, Jellico, TN 37762-4404 | 4237847269 | CHARLES H. WILKENS, M.D.,P.C. |
| 475 N Hwy 25 W, Suite 100, Williamsburg, KY 40769-1576 | 6065492933 | WILLIAMSBURG FAMILY MEDICINE CENTER |
| 475 N Hwy 25 W, Williamsburg, KY 40769-1576 | 6065492933 | WILLIAMSBURG FAMILY MEDICINE CENTER |
| Organization Legal Name | WILLIAMSBURG FAMILY MEDICINE CENTER |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracy Johnson | Physician Assistant | Williamsburg Family Medicine Center | 475 N Hwy 25 W, Suite 100, Williamsburg, KY 40769-1576 |
| Linda Hale | Nurse Practitioner | Williamsburg Family Medicine Center | 475 N Hwy 25 W, Williamsburg, KY 40769-1576 |
| Kenneth Reed | Physician Assistant | Williamsburg Family Medicine Center | 475 N Hwy 25 W, Suite 100, Williamsburg, KY 40769-1576 |
| Darryl John Wilkens | Family Medicine | Williamsburg Family Medicine Center | 475 N Hwy 25 W, Suite 100, Williamsburg, KY 40769-1576 |
| Kari Mcknight | Physician Assistant | Williamsburg Family Medicine Center | 475 N Hwy 25 W, Suite 100, Williamsburg, KY 40769-1576 |
| Charles H Wilkens | Family Practice | Williamsburg Family Medicine Center | 475 N Hwy 25 W, Williamsburg, KY 40769-1576 |
| Street Address |
475 N HWY 25 W SUITE 100 |
| City | WILLIAMSBURG |
| State | KY |
| Zip | 40769-1576 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracy Johnson | Physician Assistant | Williamsburg Family Medicine Center | 475 N Hwy 25 W, Suite 100, Williamsburg, KY 40769-1576 |
| Morgan Lay | Physical Therapy | Maximum Potential Physical Therapy, Pllc | 475 N Hwy 25 W, Suite 201, Williamsburg, KY 40769-1576 |
| Linda Hale | Nurse Practitioner | Williamsburg Family Medicine Center | 475 N Hwy 25 W, Williamsburg, KY 40769-1576 |
| Kenneth Reed | Physician Assistant | Williamsburg Family Medicine Center | 475 N Hwy 25 W, Suite 100, Williamsburg, KY 40769-1576 |
| Darryl John Wilkens | Family Medicine | Williamsburg Family Medicine Center | 475 N Hwy 25 W, Suite 100, Williamsburg, KY 40769-1576 |
| Kari Mcknight | Physician Assistant | Williamsburg Family Medicine Center | 475 N Hwy 25 W, Suite 100, Williamsburg, KY 40769-1576 |
| Charles H Wilkens | Family Practice | Williamsburg Family Medicine Center | 475 N Hwy 25 W, Williamsburg, KY 40769-1576 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric Todd Overley | Optometry | Associates In Eye Care, Inc. | 207 Main St, Williamsburg, KY 40769-1121 |
| Angela N Gilbert | Nurse Practitioner | Baptist Health Medical Group Inc | 403 E Sycamore St, Williamsburg, KY 40769-1136 |
| Elaine Passow Capobianco | Clinical Social Worker | Baptist Health Medical Group Inc | 403 E Sycamore St, Williamsburg, KY 40769-1136 |
| Terry W North | Clinical Social Worker | Baptist Health Medical Group Inc | 403 E Sycamore St, Williamsburg, KY 40769-1136 |
| Terry Matthew Christopher | Chiropractic | Eagle Health and Wellness, Inc. | 410 Sycamore St, Williamsburg, KY 40769-1137 |
| Elizabeth Rice Christopher | Chiropractic | Eagle Health and Wellness, Inc. | 410 Sycamore St, Williamsburg, KY 40769-1137 |
| Sarah B Mcqueen | Physician Assistant | Dayspring Health Inc | 402 Cumberland Ave, Williamsburg, KY 40769-1238 |
| Laura Reed | Physician Assistant | Dayspring Health Inc | 402 Cumberland Ave, Williamsburg, KY 40769-1238 |
| Clayton Dylan Thomas | Physician Assistant | Dayspring Health Inc | 402 Cumberland Ave, Williamsburg, KY 40769-1238 |
| Megan Rae Hill | Nurse Practitioner | Dayspring Health Inc | 402 Cumberland Ave, Williamsburg, KY 40769-1238 |
| Find all physicians in zip 40769 | |||
| City | WILLIAMSBURG |
| Zip Code | 40769 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WILLIAMSBURG + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Robert W Cooper.
| 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.