Michael Cooper (NPI# 1174721997, PAC ID# 7517182629) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1174721997 |
| PAC ID by PECOS | 7517182629 |
| Professional Enrollment ID | I20140703001678 |
| Full Name | Michael Cooper |
| Organization Legal Name | COMMUNITY MENTAL HEALTH AUTHORITY OF CLINTON EATON INGHAM COUNTIES |
| Address |
201 W Railroad St Suite A Saint Johns MI 48879-1513 |
| Phone Number | 9892246729 |
| Gender | M |
| Graduation Year | 2006 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 2668376732 |
| Number of Group Practice Members | 40 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 201 W Railroad St, Suite A, Saint Johns, MI 48879-1513 | 9892246729 | COMMUNITY MENTAL HEALTH AUTHORITY OF CLINTON EATON INGHAM COUNTIES |
| Organization Legal Name | COMMUNITY MENTAL HEALTH AUTHORITY OF CLINTON EATON INGHAM COUNTIES |
| Physicians | 55 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David A Enterline | Clinical Social Worker | Community Mental Health Authority of Clinton Eaton Ingham Counties | 812 E Jolly Rd, Lansing, MI 48910-6818 |
| Mckensie Ward | Occupational Therapy | Community Mental Health Authority of Clinton Eaton Ingham Counties | 5150 Wardcliff Dr, East Lansing, MI 48823-3851 |
| Rachel L Boots-rositas | Clinical Social Worker | Community Mental Health Authority of Clinton Eaton Ingham Counties | 201 W Railroad St, Suite A, Saint Johns, MI 48879-1513 |
| Ronald Kostka | Clinical Social Worker | Community Mental Health Authority of Clinton Eaton Ingham Counties | 551 Courthouse Dr, Suite 5, Charlotte, MI 48813-1054 |
| Sitamahalakshmi Pothacamury | Psychiatry | Community Mental Health Authority of Clinton Eaton Ingham Counties | 606 W Shiawassee St, Lansing, MI 48933-1032 |
| David G Mack | Psychiatry | Community Mental Health Authority of Clinton Eaton Ingham Counties | 812 E Jolly Rd, Lansing, MI 48910-6818 |
| Cynthia L Spencer | Psychiatry | Community Mental Health Authority of Clinton Eaton Ingham Counties | 812 E Jolly Rd, Suite 216, Lansing, MI 48910-6821 |
| Sarah Susannah Zyskowski | Psychiatry | Community Mental Health Authority of Clinton Eaton Ingham Counties | 812 E Jolly Rd, Lansing, MI 48910-6818 |
| Jessica L Stewart | Clinical Social Worker | Community Mental Health Authority of Clinton Eaton Ingham Counties | 812 E Jolly Rd, Lansing, MI 48910-6818 |
| Alisa M Schlacht | Psychiatry | Community Mental Health Authority of Clinton Eaton Ingham Counties | 812 E Jolly Rd, Lansing, MI 48910-6818 |
| Street Address |
201 W RAILROAD ST SUITE A |
| City | SAINT JOHNS |
| State | MI |
| Zip | 48879-1513 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel L Boots-rositas | Clinical Social Worker | Community Mental Health Authority of Clinton Eaton Ingham Counties | 201 W Railroad St, Suite A, Saint Johns, MI 48879-1513 |
| Leah Ann Tarrant | Clinical Social Worker | Community Mental Health Authority of Clinton Eaton Ingham Counties | 201 W Railroad St, Suite A, Saint Johns, MI 48879-1513 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward Peters | Optometry | Avery Vision Center PC | 1002 N Us, 27 Avery Eye Care Center PC, St Johns, MI 48879-1129 |
| Rodger W Massa | Chiropractic | 1004 N Us Hwy 27, Saint Johns, MI 48879-1129 | |
| Raphaello Addiego | Ophthalmology | Mid Michigan Eye Care Center PC | 1002 N Us Hwy 27, Avery Eye Care Center, Saint Johns, MI 48879-1129 |
| Thu Thi Anh To | Optometry | Avery Vision Center PC | 1002 N Us, 27 Avery Eye Care Center PC, St Johns, MI 48879-1129 |
| Edward Avery Peters Iii | Optometry | Avery Vision Center PC | 1002 N Us, 27 Avery Eye Care Center PC, St Johns, MI 48879-1129 |
| Mark S White | Optometry | Avery Vision Center PC | 1002 N Us, 27 Avery Eye Care Center PC, St Johns, MI 48879-1129 |
| Elizabeth A Olson | Psychologist, Clinical | 710 N Mead St, St Johns, MI 48879-1332 | |
| David L Peters | Optometry | 611 W State St, Saint Johns, MI 48879-1468 | |
| John S Macdonald | Internal Medicine | 110 W Higham St, St Johns, MI 48879-1559 | |
| Travis B Scott | Nurse Practitioner | St. Johns Internal Medicine PC | 110 W Higham St, Saint Johns, MI 48879-1559 |
| Find all physicians in zip 48879 | |||
| City | SAINT JOHNS |
| Zip Code | 48879 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | SAINT JOHNS + CLINICAL SOCIAL WORKER |
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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.