John David Edward Cooper (NPI# 1093193377, PAC ID# 9032412598) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1093193377 |
| PAC ID by PECOS | 9032412598 |
| Professional Enrollment ID | I20191018002605 |
| Full Name | John David Edward Cooper |
| Organization Legal Name | PHYSICIAN GROUPS LC |
| Address |
1103 W Liberty St Farmington MO 63640-1986 |
| Phone Number | 5737566751 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 3072421254 |
| Number of Group Practice Members | 348 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260163 | PARKLAND HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1103 W Liberty St, Farmington, MO 63640-1986 | 5737566751 | PHYSICIAN GROUPS LC |
| Organization Legal Name | PHYSICIAN GROUPS LC |
| Physicians | 360 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kwabena Owusu Dekyi | Family Medicine | Physician Groups Lc | 7415 A N Lindbergh Blvd, Hazelwood, MO 63042-2120 |
| Amy Elizabeth Roberts | Family Medicine | Physician Groups Lc | 8888 Ladue Rd, Suite 210, Saint Louis, MO 63124-2005 |
| Jane Isabelle Foreman | Nurse Practitioner | Physician Groups Lc | 605 C Douglas Dr, Ashland, MO 65010-9088 |
| Shahed N Badiyan | Radiation Oncology | Physician Groups Lc | 150 Entrance Way, Siteman Cancer Center, Saint Peters, MO 63376-1645 |
| Carlos A Rubio-reyes | Family Medicine | Physician Groups Lc | 900 Rain Forest Pkwy, Suite B, Columbia, MO 65202-3796 |
| Mindy Lou Doscher | Nurse Practitioner | Physician Groups Lc | 900 W Nifong Blvd, Suite 101, Columbia, MO 65203-4469 |
| Sarah Z Martin | Nurse Practitioner | Physician Groups Lc | 3844 S Lindbergh Blvd, Suite 120, Saint Louis, MO 63127-1369 |
| Mary Hoang | Family Medicine | Physician Groups Lc | 6261 Ronald Reagan Dr, Suite B19, Lake Saint Louis, MO 63367-2665 |
| Melinda C Hart | Nurse Practitioner | Physician Groups Lc | 108 Market St, Glasgow, MO 65254-1053 |
| Andrea Young Willer | Nurse Practitioner | Physician Groups Lc | 1021 E Hwy 22, Boone Medical Group Centralia, Centralia, MO 65240-1183 |
| Street Address |
1103 W LIBERTY ST |
| City | FARMINGTON |
| State | MO |
| Zip | 63640-1986 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Saurabh Kumar | Obstetrics/gynecology | Physician Groups Lc | 1103 W Liberty St, Farmington, MO 63640-1986 |
| Kimberly Lynne Borchers | Family Medicine | Physician Groups Lc | 1103 W Liberty St, Farmington, MO 63640-1986 |
| Lauren Oberle | Nurse Practitioner | Physician Groups Lc | 1103 W Liberty St, Medical Arts Clinic, Farmington, MO 63640-1986 |
| Andrea Fisher | Nurse Practitioner | Physician Groups Lc | 1103 W Liberty St, Farmington, MO 63640-1986 |
| Reshma Eugene | Family Medicine | Physician Groups Lc | 1103 W Liberty St, Farmington, MO 63640-1986 |
| Douglas W Rose | Nurse Practitioner | Physician Groups Lc | 1103 W Liberty St, Farmington, MO 63640-1986 |
| Luis R Mertins | Obstetrics/gynecology | Physician Groups Lc | 1103 W Liberty St, Farmington, MO 63640-1986 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa R Long | Chiropractic | 307 E E Karsch Blvd, Farmington, MO 63640-1203 | |
| Abraham Ray Renaud | Chiropractic | Desired Health Chiropractic, LLC | 134 W Pine St, Farmington, MO 63640-1403 |
| Adam P Overcast | Chiropractic | Desired Health Chiropractic, LLC | 134 W Pine St, Farmington, MO 63640-1403 |
| Kathryn S Wiles | Physical Therapy | Aegis Group Practice LLC | 502 W Pine St, Farmington, MO 63640-1426 |
| Paula S Alvarez | Clinical Social Worker | Mineral Area Community Psychiatric Rehabilitation Center, Inc. | 560 W Pine St, Farmington, MO 63640-1426 |
| Christopher John Donze | Physical Therapy | Aegis Group Practice LLC | 502 W Pine St, Farmington, MO 63640-1426 |
| Bonnie L Hartrup | Clinical Social Worker | Mineral Area Community Psychiatric Rehabilitation Center, Inc. | 560 W Pine St, Farmington, MO 63640-1426 |
| Steven Wade | Qualified Audiologist | Sound Health Services PC | 501 W Pine St, Farmington, MO 63640-1439 |
| Gina L Heberlie | Nurse Practitioner | Midwest Health Group, LLC | 555 W Pine St, Farmington, MO 63640-1439 |
| Robin L Gipson | Clinical Social Worker | Hope and Healing Counseling Center LLC | 555 W Pine St, Farmington, MO 63640-1439 |
| Find all physicians in zip 63640 | |||
| City | FARMINGTON |
| Zip Code | 63640 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | FARMINGTON + OBSTETRICS/GYNECOLOGY |
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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.