Stacie M Cooper (NPI# 1336104322, PAC ID# 9436164332) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1336104322 |
| PAC ID by PECOS | 9436164332 |
| Professional Enrollment ID | I20060214000544 |
| Full Name | Stacie M Cooper |
| Organization Legal Name | EISENHOWER MEDICAL CENTER |
| Address |
72201 Country Club Dr Rancho Mirage CA 92270-4001 |
| Phone Number | 7603405999 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2005 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5890689657 |
| Number of Group Practice Members | 249 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050573 | EISENHOWER MEDICAL CENTER |
| 050279 | HI-DESERT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 72201 Country Club Dr, Rancho Mirage, CA 92270-4001 | 7603405999 | EISENHOWER MEDICAL CENTER |
| Organization Legal Name | EISENHOWER MEDICAL CENTER |
| Physicians | 285 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda B Paul | Internal Medicine | Eisenhower Medical Center | 1555 S Palm Canyon Dr, Bldg C, Palm Springs, CA 92264-8354 |
| Gregory M Apel | Emergency Medicine | Eisenhower Medical Center | 39700 Bob Hope Dr, Suite 101, Rancho Mirage, CA 92270-3269 |
| Benjamin T Mahdi | Family Medicine | Eisenhower Medical Center | 45280 Seeley Dr, Fl 2, La Quinta, CA 92253-6834 |
| Tracey A Gomez | Nurse Practitioner | Eisenhower Medical Center | 40075 Bob Hope Dr, Suite A, Rancho Mirage, CA 92270-3945 |
| John Austin Roberts | Psychiatry | Eisenhower Medical Center | 4791 E Palm Canyon Dr, Suite 200, Palm Springs, CA 92264-5234 |
| Shakti Mahapatra | Obstetrics/gynecology | Eisenhower Medical Center | 415 S Palm Canyon Dr, Palm Springs, CA 92262-7303 |
| Robert Waterbor | Internal Medicine | Eisenhower Medical Center | 67780 E Palm Canyon Dr, Cathedral City, CA 92234-5441 |
| Glenn M Jabola | Family Medicine | Eisenhower Medical Center | 74020 Alessandro Dr, Suite B, Palm Desert, CA 92260-3707 |
| Aurora L Benson | Family Medicine | Eisenhower Medical Center | 78120 Wildcat Dr, Palm Desert, CA 92211-1140 |
| Gary Y Huang | Internal Medicine | Eisenhower Medical Center | 72201 Country Club Dr, Rancho Mirage, CA 92270-4001 |
| Street Address |
72201 COUNTRY CLUB DR |
| City | RANCHO MIRAGE |
| State | CA |
| Zip | 92270-4001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary Y Huang | Internal Medicine | Eisenhower Medical Center | 72201 Country Club Dr, Rancho Mirage, CA 92270-4001 |
| John Ninos | Family Medicine | Eisenhower Medical Center | 72201 Country Club Dr, Rancho Mirage, CA 92270-4001 |
| Nick B Ziomek | Physician Assistant | Eisenhower Medical Center | 72201 Country Club Dr, Rancho Mirage, CA 92270-4001 |
| James M Adams | Family Medicine | Eisenhower Medical Center | 72201 Country Club Dr, Rancho Mirage, CA 92270-4001 |
| William J Eaton Iii | Physician Assistant | Eisenhower Medical Center | 72201 Country Club Dr, Rancho Mirage, CA 92270-4001 |
| Tiffany E Bell Davlantes | Nurse Practitioner | Eisenhower Medical Center | 72201 Country Club Dr, Rancho Mirage, CA 92270-4001 |
| Gregory D Shannon | Physician Assistant | Eisenhower Medical Center | 72201 Country Club Dr, Rancho Mirage, CA 92270-4001 |
| Andrew Lobe | Physician Assistant | Eisenhower Medical Center | 72201 Country Club Dr, Rancho Mirage, CA 92270-4001 |
| Paul Andrew Levitan | Family Medicine | Eisenhower Medical Center | 72201 Country Club Dr, Rancho Mirage, CA 92270-4001 |
| Richard E Fausel | Family Medicine | Eisenhower Medical Center | 72201 Country Club Dr, Rancho Mirage, CA 92270-4001 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Ann Conrad | Nurse Practitioner | Rupinder Mann M D Inc | 72047 Pinah Shore Dr, Suite 4, Rancho Mirage, CA 92270 |
| Andrew Robert Rothstein | Podiatry | 69730 Hwy IIi, Suite 101, Rancho Mirage, CA 92270 | |
| Balaji Nettimi | Psychologist, Clinical | 45 -525 Rancho Mirage Ln B, Rancho Mirage, CA 92270 | |
| Rupinder Mann | Geriatric Medicine | Rupinder Mann M D Inc | 72047 Pinah Shore Dr, Suite 4, Rancho Mirage, CA 92270 |
| Priscilla A Slagle | Psychiatry | 24 Scarborough Way, Rancho Mirage, CA 92270-1624 | |
| Chun K Kim | Oral Surgery | 35900 Bob Hope Dr, Suite 110, Rancho Mirage, CA 92270-1700 | |
| Klaus Yi | Oral Surgery | 34530 Bob Hope Dr B, Rancho Mirage, CA 92270-1727 | |
| Kurt D Cao | Certified Registered Nurse Anesthetist (crna) | Mission Nursing Anesthesia, Inc. | 35800 Bob Hope Dr, Suite 100, Rancho Mirage, CA 92270-1739 |
| David P Schreiber | Radiation Oncology | 35800 Bob Hope Dr, Suite 215, Rancho Mirage, CA 92270-1739 | |
| Craig Marshall Johnson | Certified Registered Nurse Anesthetist (crna) | Mission Nursing Anesthesia, Inc. | 35800 Bob Hope Dr, Suite 100, Rancho Mirage, CA 92270-1739 |
| Find all physicians in zip 92270 | |||
| City | RANCHO MIRAGE |
| Zip Code | 92270 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | RANCHO MIRAGE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Stacie M 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.