MOUNGAR ELTON COOPER (NPI# 1013208958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013208958 |
| Entity Type | Individual |
| Full Name | MOUNGAR ELTON COOPER |
| Credential | M.D. |
| Practice Address |
5900 Bond Ave Centreville IL 62207-2326 |
| Practice Telephone | 6183325302 |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2018-12-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | PENDING | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 201 E University Pkwy, Dept. of Surgery, Baltimore, MD 212182829 | 4105542782 |
| Street Address |
5900 BOND AVE |
| City | CENTREVILLE |
| State | IL |
| Zip Code | 62207-2326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900763 | Danielle Victoria Williams | Dietitian, Registered | 5900 Bond Ave, Centreville, IL 62207-2326 | 2020-10-22 |
| 1750992459 | Touchette Regional Hospital Inc | Psychiatric Unit | 5900 Bond Ave, Centreville, IL 62207-2326 | 2020-08-14 |
| 1932722295 | Alecia E Marks | Social Worker | 5900 Bond Ave, Centreville, IL 62207-2326 | 2020-05-21 |
| 1194345322 | Lisa Bicket | Social Worker | 5900 Bond Ave, Centreville, IL 62207-2326 | 2020-04-17 |
| 1578034609 | Jennifer Wuerffel | Dietitian, Registered | 5900 Bond Ave, Centreville, IL 62207-2326 | 2018-12-16 |
| 1467922708 | Laura Anne Lengyel | Counselor | 5900 Bond Ave, Centreville, IL 62207-2326 | 2018-11-29 |
| 1053853143 | Touchette Regional Hospital - Transportation | Non-emergency Medical Transport (VAN) | 5900 Bond Ave, Centreville, IL 62207-2326 | 2016-11-07 |
| 1629498266 | Jami Szwargulski | Dietitian, Registered | 5900 Bond Ave, Centreville, IL 62207-2326 | 2014-04-22 |
| 1538449509 | Southern Illinois Healthcare Foundation, Inc | Family Medicine | 5900 Bond Ave, Centreville, IL 62207-2326 | 2011-08-23 |
| 1902113301 | Birgit Sterzl | Dietitian, Registered | 5900 Bond Ave, Centreville, IL 62207-2326 | 2010-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114493723 | Monica Marie Magowan | Nurse Practitioner | Touchette Regional Hospital, 5900 Bond Ave, Centreville, IL 62207 | 2018-10-22 |
| 1063708345 | Porshia Lenee' Egerson | Student in an Organized Health Care Education/Training Program | 6032 Clarita Ave, Centreville, IL 62207-1019 | 2011-06-24 |
| 1679742506 | Comprehensive Mental Health Center of St. Clair County, Inc. | Community/Behavioral Health | 1501 S G St, East Saint Louis, IL 62207-2057 | 2008-02-25 |
| 1780853614 | Comprehensive Mental Health Center of St. Clair County, Inc. | Clinic/Center | 1500 Wilford Ave, East Saint Louis, IL 62207-2066 | 2008-02-25 |
| 1891395893 | Cheryl Lynn Eubanks | Technician | 1710 Mccasland Ave, East Saint Louis, IL 62207-2245 | 2020-10-28 |
| 1871086082 | Medicate Pharmacy Inc | Pharmacy | 5869 Bond Ave, Centreville, IL 62207-2300 | 2018-06-12 |
| 1518079243 | Heather L Lucas-foster | Family Medicine | 6010 Bond Ave, Centreville, IL 62207-2328 | 2006-08-31 |
| 1386633295 | Heather Surratt | Dentist | 6000 Bond Ave, Sihf - Mcc, Centreville, IL 62207-2328 | 2005-10-14 |
| 1730574617 | Lara E. Stein | Obstetrics & Gynecology | 6000 Bond Ave, Centreville, IL 62207-2328 | 2015-03-30 |
| 1134546690 | Bhawna Sharma | Psychiatry & Neurology | 6000 Bond Ave, Centreville, IL 62207-2328 | 2014-03-23 |
| Find all providers in zip 62207 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023340874 | Field Memorial Community Hospital | Surgery | 260 E Main St, Centreville, MS 39631-4200 | 2010-02-04 |
| 1548217847 | Richard J Field IIi | Surgery | 178 Highway 24 E, Centreville, MS 39631-4171 | 2006-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003430166 | Conlan Joseph Pierce | Surgery | 601 W Park St, Urbana, IL 61801 | 2020-06-04 |
| 1376167809 | Francesco Bajani | Surgery | 664 N Dearborn St Apt 2f, Chicago, IL 60654-3848 | 2020-06-01 |
| 1972123099 | Andrea Liu | Surgery | 5841 S Maryland Ave Mc6040, Chicago, IL 60637-1443 | 2020-04-18 |
| 1750917183 | Alberto Maria Fratti | Surgery | 901 S Ashland Ave Apt 711, Chicago, IL 60607-4088 | 2020-03-17 |
| 1841845047 | Barijuve Surgical LLC | Surgery | 380 E Northwest Hwy Ste 200, Des Plaines, IL 60016-2274 | 2019-08-05 |
| 1164081782 | Sean Park | Surgery | 1739 Tudor Ln Unit 308, Northbrook, IL 60062-3778 | 2019-06-07 |
| 1376014175 | Edwardsville Physicians Group LLC | Surgery | 441 South State Route 157 Suite 102, Edwardsville, IL 62025-4012 | 2018-12-06 |
| 1316421324 | Erica Lester | Surgery | John H Stroger, 1969 Ogden Ave, Chicago, IL 60612 | 2018-09-17 |
| 1023513389 | Crystal Siyu Zhang | Surgery | 2160 S 1st Ave Bldg 3210, Maywood, IL 60153 | 2018-03-28 |
| 1376047381 | Richard Lawrence Nelson | Surgery | 1603 W. Taylor St., Room 983, Chicago, IL 60612-4394 | 2018-03-23 |
| Find all providers with the same taxonomy | ||||
| City | CENTREVILLE |
| Zip Code | 62207 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.