Susan Nicole Cooper (NPI# 1396270021, PAC ID# 2466721105) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1396270021 |
| PAC ID by PECOS | 2466721105 |
| Professional Enrollment ID | I20170711003791 |
| Full Name | Susan Nicole Cooper |
| Organization Legal Name | PHYSICIAN GROUP OF UTAH INC |
| Address |
82 S 1100 Suite 103 Salt Lake City UT 84102-1889 |
| Phone Number | 8015055370 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8022032234 |
| Number of Group Practice Members | 163 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 82 S 1100, Suite 103, Salt Lake City, UT 84102-1889 | 8015055370 | PHYSICIAN GROUP OF UTAH INC |
| Organization Legal Name | PHYSICIAN GROUP OF UTAH INC |
| Physicians | 141 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wesley Deans | Neurology | Physician Group of Utah Inc | 3590 W 9000, Suite 240, West Jordan, UT 84088-8864 |
| Tamiyah Dinh | Nurse Practitioner | Physician Group of Utah Inc | 5980 S Fashion Blvd, Suite 203, Murray, UT 84107-7362 |
| Komal Rastogi | Neurology | Physician Group of Utah Inc | 1492 W Antelope Dr, Suite 203, Layton, UT 84041-1141 |
| Nicholas M Noble | Family Medicine | Physician Group of Utah Inc | 349 N Flint St, Suite 101, Kaysville, UT 84037-9808 |
| Robert W Engelen | Sports Medicine | Physician Group of Utah Inc | 3336 S Pioneer Pkwy, Suite 102, West Valley City, UT 84120-2072 |
| Mitchell Taylor Peterson | Physical Therapy | Physician Group of Utah Inc | 1840 S 1300, Salt Lake City, UT 84105-3617 |
| Patricia L Judson | Obstetrics/gynecology | Physician Group of Utah Inc | 3336 Pioneer Pkwy, Suite 301, West Valley City, UT 84120-2073 |
| Laura Chelu | Obstetrics/gynecology | Physician Group of Utah Inc | 82 S 1100, Suite 305, Salt Lake City, UT 84102-4703 |
| Andrew Benjamin Ward | Physician Assistant | Physician Group of Utah Inc | 3000 N Triumph Blvd, Lehi, UT 84043-4999 |
| Nancy Lieu | Clinical Social Worker | Physician Group of Utah Inc | 2530 W 4700 S, Salt Lake City, UT 84118-1865 |
| Street Address |
82 S 1100 SUITE 103 |
| City | SALT LAKE CITY |
| State | UT |
| Zip | 84102-1889 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura Chelu | Obstetrics/gynecology | Physician Group of Utah Inc | 82 S 1100, Suite 305, Salt Lake City, UT 84102-4703 |
| Benjamin G Williams | Orthopedic Surgery | Physician Group of Utah Inc | 82 S 1100, Suite 303, Salt Lake City, UT 84102-1891 |
| Paul G Lehmitz | Internal Medicine | Physician Group of Utah Inc | 82 S 1100, Suite 403, Salt Lake City, UT 84102-1892 |
| Rasheel S Chowdhary | Critical Care (intensivists) | Heart and Lung Institute of Utah Inc | 82 S 1100, Suite 103, Salt Lake City, UT 84102-1889 |
| James C Stringham | Cardiac Surgery | Heart and Lung Institute of Utah Inc | 82 S 1100, Suite 103, Salt Lake City, UT 84102-1889 |
| Stephen T Kirk | Family Medicine | Physician Group of Utah Inc | 82 S 1100, Suite 303, Salt Lake City, UT 84102-1891 |
| Pankhuri Gupta | Rheumatology | Physician Group of Utah Inc | 82 S 1100, Suite 403, Salt Lake City, UT 84102-1892 |
| Kristen Hansord Lilja | Obstetrics/gynecology | Physician Group of Utah Inc | 82 S 1100, Suite 305, Salt Lake City, UT 84102-4703 |
| Stephen A Spurlock | Physician Assistant | Heart and Lung Institute of Utah Inc | 82 S 1100, Suite 103, Salt Lake City, UT 84102-1889 |
| Joshua Gary Hunter | Orthopedic Surgery | Physician Group of Utah Inc | 82 S 1100, Suite 303, Salt Lake City, UT 84102-1891 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy N De La Garza | Family Medicine | 77 S 700, Suite 220, Salt Lake City, UT 84102-1162 | |
| Charles Ty Nuttall | Clinical Social Worker | 699 E S Temple, Suite 300, Salt Lake City, UT 84102-1186 | |
| Darren F Groberg | Podiatry | Utah Podiatric Physicians and Surgeons Group LLC | 144 S 700, Salt Lake City, UT 84102-1357 |
| Daniel Preece | Podiatry | Utah Podiatric Physicians and Surgeons Group LLC | 144 S 700, Salt Lake City, UT 84102-1357 |
| Steven R Taylor | Otolaryngology | Intermountain Ear Nose and Throat Specialists LLC | 22 S 900, Salt Lake City, UT 84102-1394 |
| Kian Eftekhari | Ophthalmology | Intermountain Ear Nose and Throat Specialists LLC | 22 S 900, Salt Lake City, UT 84102-1394 |
| Balimar B Lindgren | Nurse Practitioner | Santibanez Aguirre PC | 165 S 1000, Salt Lake City, UT 84102-1402 |
| Edwin Awinda | Nurse Practitioner | Santibanez Aguirre PC | 165 S 1000, Salt Lake City, UT 84102-1402 |
| Bernard M Mutie | Nurse Practitioner | Santibanez Aguirre PC | 165 S 1000, Salt Lake City, UT 84102-1402 |
| Nathan Michael Hastings | Hospitalist | Santibanez Aguirre PC | 165 S 1000, Salt Lake City, UT 84102-1402 |
| Find all physicians in zip 84102 | |||
| City | SALT LAKE CITY |
| Zip Code | 84102 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SALT LAKE CITY + 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.