Loren D Cooper (NPI# 1649267196, PAC ID# 1355360561) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1649267196 |
| PAC ID by PECOS | 1355360561 |
| Professional Enrollment ID | I20051117000026 |
| Full Name | Loren D Cooper |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES WASHINGTON |
| Address |
914 S Scheuber Rd Centralia WA 98531-9027 |
| Phone Number | 3607362803 |
| Gender | M |
| Credential | MD |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1969 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 9234048323 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500019 | PROVIDENCE CENTRALIA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 914 S Scheuber Rd, Centralia, WA 98531-9027 | 3607362803 | PROVIDENCE HEALTH AND SERVICES WASHINGTON |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES WASHINGTON |
| Physicians | 1132 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Kinnard | Nurse Practitioner | Providence Health and Services Washington | 2555 Marvin Rd Ne, Lacey, WA 98516-3138 |
| Alexander Lee Telis | Orthopedic Surgery | Providence Health and Services Washington | 820 S Mcclellan St, Suite 300, Spokane, WA 99204-2450 |
| Jodi Ann Fischer | Nurse Practitioner | Providence Health and Services Washington | 1450 Northwest Ln Se, Suite A, Lacey, WA 98503-6908 |
| Katherine Elizabeth Reynolds | Nurse Practitioner | Providence Health and Services Washington | 1212 N Pines Rd, Spokane Valley, WA 99206-4939 |
| Eugene Daniel Villacian | Nurse Practitioner | Providence Health and Services Washington | 3333 Ensign Rd Ne, Olympia, WA 98506-5012 |
| Shira Y Albert | Nurse Practitioner | Providence Health and Services Washington | 12312 E Sprague Ave, Spokane Valley, WA 99216-0720 |
| Lisa Tisch | Nurse Practitioner | Providence Health and Services Washington | 551 E Hawthorne Rd, Spokane, WA 99218-1417 |
| Natalie S Angus | Family Medicine | Providence Health and Services Washington | 931 S Market Blvd, Chehalis, WA 98532-3423 |
| Tabatha Schellenger | Nurse Practitioner | Providence Health and Services Washington | 3760 Piper St, Suite 1108, Anchorage, AK 99508-4683 |
| Callie Rose Adams | Nurse Practitioner | Providence Health and Services Washington | 212 E Central Ave, Suite 240, Spokane, WA 99208-6597 |
| Street Address |
914 S SCHEUBER RD |
| City | CENTRALIA |
| State | WA |
| Zip | 98531-9027 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kirsten E Redborg | Anesthesiology | Providence Health and Service- Washington | 914 S Scheuber Rd, Centralia, WA 98531-9027 |
| Sarah C Mcdaniel | Emergency Medicine | Northwest Emergency Physicians LLC | 914 S Scheuber Rd, Centralia, WA 98531-9027 |
| Jacqueline M Wong | Emergency Medicine | Northwest Emergency Physicians LLC | 914 S Scheuber Rd, Centralia, WA 98531-9027 |
| Jayasree Bodagala | Family Medicine | Providence Health and Services Washington | 914 S Scheuber Rd, Centralia, WA 98531-9027 |
| Asra R Khan | Family Medicine | Providence Health and Services Washington | 914 S Scheuber Rd, Centralia, WA 98531-9027 |
| Heather A Day | Nurse Practitioner | Northwest Physician Associates PC | 914 S Scheuber Rd, Centralia, WA 98531-9027 |
| Gabrielle Dionyse Lauren Bernard | Emergency Medicine | Northwest Emergency Physicians LLC | 914 S Scheuber Rd, Centralia, WA 98531-9027 |
| Marcus S Myers | Emergency Medicine | Northwest Emergency Physicians LLC | 914 S Scheuber Rd, Centralia, WA 98531-9027 |
| Bassel Obaid | Internal Medicine | Providence Health and Services Washington | 914 S Scheuber Rd, Centralia, WA 98531-9027 |
| David A Newman | Emergency Medicine | Northwest Emergency Physicians LLC | 914 S Scheuber Rd, Centralia, WA 98531-9027 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph L Dolezal | Optometry | 1125 Mellen St, Centralia, WA 98531-1173 | |
| Jason A Buono | Physical Therapy | Centralia Physical Therapy Ps Inc | 1118 View Ave, Centralia, WA 98531-1870 |
| Sara J Hess | Physical Therapy | Centralia Physical Therapy Ps Inc | 1118 View Ave, Centralia, WA 98531-1870 |
| Kristin Kay Hood | Physical Therapy | Centralia Physical Therapy Ps Inc | 1118 View Ave, Centralia, WA 98531-1870 |
| Gregory A Sonntag | Physical Therapy | Centralia Physical Therapy Ps Inc | 1118 View Ave, Centralia, WA 98531-1870 |
| Todd L Gentzler | Physical Therapy | Centralia Physical Therapy Ps Inc | 1118 View Ave, Centralia, WA 98531-1870 |
| Jacob Andrew Keeling | Physical Therapy | Centralia Physical Therapy Ps Inc | 1118 View Ave, Centralia, WA 98531-1870 |
| Holly A Lickwala | Physical Therapy | Centralia Physical Therapy Ps Inc | 1118 View Ave, Centralia, WA 98531-1870 |
| Steven Aaron Zakai | Physical Therapy | Centralia Physical Therapy Ps Inc | 1118 View Ave, Centralia, WA 98531-1870 |
| Erin D Buono | Physical Therapy | Centralia Physical Therapy Ps Inc | 1118 View Ave, Centralia, WA 98531-1870 |
| Find all physicians in zip 98531 | |||
| City | CENTRALIA |
| Zip Code | 98531 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CENTRALIA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Loren D 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.