COOPER CLINIC, PA (NPI# 1316336761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316336761 |
| Entity Type | Organization |
| Organization Name | COOPER CLINIC, PA |
| Practice Address |
6801 Rogers Ave Fort Smith AR 72903-4067 |
| Mailing Address |
7301 Rogers Ave Fort Smith AR 72903-4100 |
| Practice Telephone | 4792742000 |
| Mailing Telephone | 4792742000 |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2015-01-22 |
| Authorized Official Name | CURTIS RALSTON (CEO) |
| Authorized Official Telephone | 4792742001 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835X0200X |
Pharmacist Specialization: Oncology |
E3603 | AR | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740201474 | Cooper Clinic, Pa | Clinic/Center | 9101 Jenny Lind Rd, Fort Smith, AR 72908-9142 | 2006-07-21 |
| 1386011211 | Cooper Clinic, Pa | Physical Therapist | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2015-08-26 |
| 1073698478 | Cooper Clinic, Pa | Clinical Medical Laboratory | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2006-10-25 |
| 1104832708 | Cooper Clinic, Pa | Clinic/Center | 4600 Towson Ave, Ste 101-n, Fort Smith, AR 72901-7961 | 2006-08-01 |
| 1013923614 | Cooper Clinic, Pa | Clinic/Center | 2521 Alma Hwy, Van Buren, AR 72956-5015 | 2006-08-01 |
| 1922014521 | Cooper Clinic, Pa | Clinic/Center | 1801 E Main St, Charleston, AR 72933-9254 | 2006-08-01 |
| 1831105436 | Cooper Clinic, Pa | Clinic/Center | 4300 Regions Park Dr, Fort Smith, AR 72916-9373 | 2006-08-01 |
| 1316961782 | Cooper Clinic, Pa | Internal Medicine | 7301 Rogers Ave, Fort Smith, AR 72903-4100 | 2006-07-27 |
| 1235151960 | Cooper Clinic, Pa | Family Medicine | 20 N Aster St, Greenwood, AR 72936-3145 | 2006-07-24 |
| 1366464075 | Cooper Clinic, Pa | Clinic/Center | 9616 Rogers Ave, Fort Smith, AR 72903-5769 | 2006-07-24 |
| Street Address |
6801 ROGERS AVE |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72903-4067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649277401 | Frederick B Niegos | Internal Medicine | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2005-07-07 |
| 1760949887 | Rachel Elise Jones | Nurse Practitioner | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2019-02-25 |
| 1720592223 | Mercy Clinic Fort Smith Communities | Durable Medical Equipment & Medical Supplies | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2017-11-21 |
| 1588117519 | Cooper Clinic Pa | Physical Therapist | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2016-07-26 |
| 1427501451 | Yong Ounpraseuth | Nurse Practitioner | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2016-07-26 |
| 1386011211 | Cooper Clinic, Pa | Physical Therapist | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2015-08-26 |
| 1518333988 | Gary Widner | Physical Therapist | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2015-08-19 |
| 1699151209 | Jason Johnson | Audiologist | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2015-08-05 |
| 1386042927 | Mandy Lee Fluitt | Nurse Practitioner | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2014-12-14 |
| 1245581479 | Rebecca A Sanders | Nurse Practitioner | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2012-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285280016 | Bhg L, LLC | Clinic/Center | 1501 Waldron Road, Ste 203, Fort Smith, AR 72903 | 2019-08-16 |
| 1457905903 | Heather Snyder | Optometrist | 1021 South Waldron Road, Fort Smith, AR 72903 | 2019-08-01 |
| 1083272223 | Pediatric Therapy Connections LLC | Clinic/Center | 7601 Westminister Pl, Fort Smith, AR 72903 | 2019-06-03 |
| 1073092821 | Baptist Health Services | Psychiatry & Neurology | 3808 Gary St Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1104305853 | Baptist Health Services | Family Medicine | 5428 Ellsworth Rd Ste A, Fort Smith, AR 72903 | 2018-08-13 |
| 1417436171 | Baptist Health Services | Pediatrics | 5428 Ellsworth Rd Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1558840421 | Baptist Health Services | Family Medicine | 3808 Gary St Ste A, Fort Smith, AR 72903 | 2018-08-10 |
| 1316434707 | Md Weight Loss and Wellness, LLC | Dietitian, Registered | 3416 Old Greenwood Road, Fort Smith, AR 72903 | 2018-04-20 |
| 1942695572 | Donna K Morgan | Counselor | 2408 S. 51st Court Suite G, Fort Smith, AR 72903 | 2015-03-31 |
| 1346658242 | Shelby Mural Esry | Dentist | 3200 Rogers Ave. Suite 111, Fort Smith, AR 72903 | 2014-07-24 |
| Find all providers in zip 72903 | ||||
| Taxonomy Code | 1835X0200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Oncology |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in developing, recommending, implementing, monitoring, and modifying pharmacotherapeutic plans to optimize outcomes in patients with malignant diseases. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871949602 | Kelly Chillari | Pharmacist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2016-05-11 |
| 1346601614 | Conway Hematology Oncology Pllc | Pharmacist | 350 Salem Rd Ste 4, Conway, AR 72034-6166 | 2016-03-15 |
| 1063683308 | Kyle Patterson Cook | Pharmacist | 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2008-03-14 |
| City | FORT SMITH |
| Zip Code | 72903 |
Please comment or provide details below to improve the information on COOPER CLINIC, PA.
| 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.