Laura B Cooper (NPI# 1316167679, PAC ID# 6406987999) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1316167679 |
| PAC ID by PECOS | 6406987999 |
| Professional Enrollment ID | I20160813000073 |
| Full Name | Laura B Cooper |
| Organization Legal Name | CENTER FOR AESTHETICS PC |
| Address |
2375 E Sunnyside Rd G Idaho Falls ID 83404-8281 |
| Phone Number | 2085421050 |
| Gender | F |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Group Practice PAC ID | 5193732493 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130065 | MOUNTAIN VIEW HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2375 E Sunnyside Rd G, Idaho Falls, ID 83404-8281 | 2085421050 | CENTER FOR AESTHETICS PC |
| Organization Legal Name | CENTER FOR AESTHETICS PC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Catherine Durboraw | Ophthalmology | Center for Aesthetics PC | 3465 N Pines Way, Suite 101, Wilson, WY 83014-9128 |
| Cassandra A White | Ophthalmology | Center for Aesthetics PC | 2375 E Sunnyside Rd, Suite G, Idaho Falls, ID 83404-8281 |
| Julie M Heier | Physician Assistant | Center for Aesthetics PC | 2375 E Sunnyside Rd, Suite G, Idaho Falls, ID 83404-8281 |
| Lauren Theanne Lyon | Physician Assistant | Center for Aesthetics PC | 2375 E Sunnyside Rd, Suite G, Idaho Falls, ID 83404-8281 |
| Street Address |
2375 E SUNNYSIDE RD G |
| City | IDAHO FALLS |
| State | ID |
| Zip | 83404-8281 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Ann Sharp-marsden | Nurse Practitioner | 1680 Elk Creek Dr, Idaho Falls, ID 83404-1225 | |
| Lisa Hong | Occupational Therapy | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Brent Kennedy | Physical Therapy | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Heidi Duran | Physical Therapy | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Rebecca L Butikofer | Occupational Therapy | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Kristan Bullock | Qualified Speech Language Pathologist | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Dawn Taylor | Qualified Speech Language Pathologist | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Brenda Padron | Qualified Speech Language Pathologist | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Kimberly Stowell | Qualified Speech Language Pathologist | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Michael Anderson | Physical Therapy | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Find all physicians in zip 83404 | |||
| City | IDAHO FALLS |
| Zip Code | 83404 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | IDAHO FALLS + PLASTIC AND RECONSTRUCTIVE SURGERY |
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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.