KEVIN CHARLES COOPER (NPI# 1366951998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366951998 |
| Entity Type | Individual |
| Full Name | KEVIN CHARLES COOPER |
| Credential | AGACNP |
| Practice Address |
601 Elmwood Ave Rochester NY 14642-0001 |
| Mailing Address |
83 Durand Dr Rochester NY 14622-1232 |
| Practice Telephone | 5852752100 |
| Mailing Telephone | 3155581556 |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2017-09-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
431186 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144722620 | Kevin Cooper | Occupational Therapist | 350 Lafayette Ave Se Suite 500, Grand Rapids, MI 49503 | 2018-03-01 |
| 1003061391 | Kevin D. Cooper | Dietitian, Registered | 6270 Midway St, Sacramento, CA 95828-0907 | 2008-12-01 |
| 1003945957 | Kevin William Cooper | Chiropractor | 681 Main Street, Suite 204, Placerville, CA 95667 | 2007-03-05 |
| 1700961562 | Kevin Keller Cooper | Occupational Therapist | 2736 Rte 22, Essex, NY 12936 | 2006-10-27 |
| 1154391225 | Kevin Patrick Cooper | Dentist | 945 E Portage Ave, Sault Sainte Marie, MI 49783-2459 | 2006-01-23 |
| 1366077331 | Kevin J Cooper | Registered Nurse | 1100 Lake View Dr, Wausau, WI 54403-6799 | 2020-03-10 |
| 1578196291 | Kevin Cooper | Student in an Organized Health Care Education/Training Program | 105 Pleasant St, Concord, NH 03301-3852 | 2020-02-20 |
| 1851936462 | Kevin Donovan Cooper | Counselor | 1820 J St, Sacramento, CA 95811-3010 | 2019-11-07 |
| 1396394417 | Kevin Maynard Cooper | Nurse Practitioner | 555 Linn St, Allegan, MI 49010-1524 | 2019-09-11 |
| 1235782798 | Kevin Cooper | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2019-07-23 |
| Street Address |
601 ELMWOOD AVE |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14642-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154324317 | Marc Norman Berliant | Internal Medicine | 601 Elmwood Ave, Box Med, Rochester, NY 14642-0001 | 2005-05-23 |
| 1386245165 | Stephanie Pilat | Pharmacist | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2020-11-06 |
| 1396346276 | Noah Ritzel | Physician Assistant | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2020-11-05 |
| 1811598790 | Natalie Tanke | Registered Nurse | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2020-11-05 |
| 1891394490 | Muhamed Ahmic | Nurse Anesthetist, Certified Registered | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2020-10-23 |
| 1619576543 | Patricia Marie Reiber | Nurse Practitioner | 601 Elmwood Ave, Rochester, NY 14642-0002 | 2020-10-21 |
| 1528667557 | Alexandra Jessie Strutt | Nurse Practitioner | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2020-10-21 |
| 1750989323 | Sarah Jones | Physician Assistant | 601 Elmwood Ave, Rochester, NY 14642-0002 | 2020-10-15 |
| 1679171334 | Audrey Linn Schroeder | Genetic Counselor, MS | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2020-10-15 |
| 1013515568 | Carla Katherine Muranyi | Nurse Practitioner | 601 Elmwood Ave, Rochester, NY 14642-0002 | 2020-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679192363 | Nicholas Campbell Love | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave, Ac-5, General Medicine Clinic 696, Rochester, NY 14642 | 2020-04-13 |
| 1750900650 | Phillip Braun | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave, Ac-5 General Medicine Clinic 696, Rochester, NY 14642 | 2020-04-10 |
| 1437786993 | Andrew Jeong | Student in an Organized Health Care Education/Training Program | Department of Orthopaedics and Rehabilitation, 601 Elmwood Avenue, Rochester, NY 14642 | 2020-03-25 |
| 1497227094 | Alison Kent | Pediatrics | Dept of Pediatrics, University of Rochester, 601 Elmwood Avenue, Rochester, NY 14642 | 2018-12-20 |
| 1326539909 | Saumya Goel Aujla | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave # 664, Rochester, NY 14642 | 2018-05-19 |
| 1922505387 | Daniel Bral | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave # 655, Rochester, NY 14642 | 2018-04-11 |
| 1194222513 | Jonah Meyerhoff | Student in an Organized Health Care Education/Training Program | 300 Crittenden Blvd Department of Psychiatry, Rochester, NY 14642 | 2018-04-11 |
| 1144738949 | Francis Michael Manzo | Registered Nurse | University of Rochester 601 Elmwood Ave Box Surg, Rochester, NY 14642 | 2018-01-15 |
| 1225552649 | George Norman Abraham | Internal Medicine | 600 Elmwood Avenue, University of Rochester, Rochester, NY 14642 | 2017-07-27 |
| 1861928301 | Sonia Thakur | Student in an Organized Health Care Education/Training Program | 601 Elmwood University of Rochester Medical Center, Department of Physicial Medicine and Rehabilitation, Rochester, NY 14642 | 2017-05-03 |
| Find all providers in zip 14642 | ||||
| Taxonomy Code | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 |
|---|---|---|---|---|
| 1144546995 | Michael Antonio Vella | Surgery | 601 Elmwood Avenue Box Surg, Rochester, NY 14642-0001 | 2010-04-19 |
| 1164076691 | Kristen Giberson | Surgery | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2019-08-01 |
| 1689023277 | Cardiac Surgery of The University of Rochester | Surgery | 601 Elmwood Ave, Box Surg, Rochester, NY 14642-8410 | 2016-06-06 |
| 1851754634 | Acute Care Trauma of The University of Rochester | Surgery | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2016-03-30 |
| 1578998696 | Lakeshore Surgical Practice, PC | Surgery | 30 Erie Canal Dr, Suite E, Rochester, NY 14626-4604 | 2013-09-09 |
| 1962644484 | Neil Gupta Kumar | Surgery | 601 Elmwood Ave, Box Surg, Rochester, NY 14642-8410 | 2009-03-30 |
| 1003829110 | Yanjie Qi | Surgery | 601 Elmwood Ave, Box Surg, Rochester, NY 14642-8410 | 2006-08-14 |
| 1740205566 | University of Rochester Surgical Associates | Surgery | 601 Elmwood Ave, Box Surg, Rochester, NY 14642-8410 | 2006-07-13 |
| 1770510836 | Paul Edward Bankey | Surgery | 601 Elmwood Ave, Box Surg, Rochester, NY 14642-8410 | 2006-06-26 |
| 1417984519 | Nicole Anne Stassen-wagner | Surgery | 601 Elmwood Ave, Box Surg, Rochester, NY 14642-8410 | 2006-06-26 |
| Find all providers in ROCHESTER | ||||
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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.