VIDETTE V COOPER (NPI# 1568420107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568420107 |
| Entity Type | Individual |
| Full Name | VIDETTE V COOPER |
| Credential | MD |
| Practice Address |
803 Tilghman Dr Suite 100 Dunn NC 28334-5509 |
| Practice Telephone | 9108921091 |
| Practice Fax Number | 9108921097 |
| Mailing Telephone | 9108921091 |
| Mailing Fax Number | 9108921097 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2014-03-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 22230 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | T64356 | 05 | |
| SC | MEDICAID GROUP | GP4840 | 01 |
| SC | MEDICAID GROUP | GP1883 | 01 |
| NC | 5909335 | 05 | |
| SC | 764356 | 05 | |
| SC | MEDICAID GROUP | GP4306 | 01 |
| Street Address |
803 TILGHMAN DR SUITE 100 |
| City | DUNN |
| State | NC |
| Zip Code | 28334-5509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366420507 | Jodi L. Miller | Family Medicine | 803 Tilghman Dr, Dunn, NC 28334-5509 | 2006-01-06 |
| 1356882112 | Sara Kelsey Neal | Physician Assistant | 803 Tilghman Dr, #100, Dunn, NC 28334-6694 | 2017-03-13 |
| 1417355629 | Cumberland County Hospital System | Surgery | 803 Tilghman Dr, Suite 200, Dunn, NC 28334-6694 | 2014-12-22 |
| 1952715179 | Wake Specialty Physicians, LLC | Surgery | 803 Tilghman Dr, Dunn, NC 28334-6694 | 2014-06-16 |
| 1508905480 | Sharon Lynne Saunders | Nurse Practitioner | 803 Tilghman Dr, Dunn, NC 28334-6694 | 2007-02-06 |
| 1194749648 | Sanford William Hawkins-rivers | Surgery | 803 Tilghman Dr, Suite 200, Dunn, NC 28334-5509 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013549229 | Passages To Recovery, LLC | Counselor | 201 N Wilson Avenue #d, Dunn, NC 28334 | 2020-02-05 |
| 1053873620 | Med-trans Corporation | Ambulance | 716 Tilghman Dr, Dunn, NC 28334 | 2019-04-03 |
| 1477009728 | Elizabeth Liles Mcgee Fegert | Speech-Language Pathologist | 111 S. Raiload Ave, Dunn, NC 28334 | 2016-08-28 |
| 1326407602 | Global Health Metrics, LLC | Clinic/Center | 726 Tilghman Drive, Dunn, NC 28334 | 2016-02-16 |
| 1902296015 | Amanda Weissman | Social Worker | 710 W Broad St, Dunn, NC 28334 | 2015-01-27 |
| 1861742462 | Southeastern Speciality Clinic | Physician Assistant | 520 Erwin Road, Dunn, NC 28334 | 2012-09-12 |
| 1558643551 | Alzheimer's Related Care of Dunn, LLC | Assisted Living Facility | 217 Jonesboro Rd., Dunn, NC 28334 | 2011-09-15 |
| 1609177104 | Carenet, Inc. | Counselor | 1001 Plain View Hwy, Dunn, NC 28334 | 2010-11-15 |
| 1003042128 | Trust The Process Inc. | Home Health | 608 A West Broad St, Dunn, NC 28334 | 2009-06-03 |
| 1861655714 | Carolina Eye Associates Inc | Ophthalmology | 107 Hunt Drive, Dunn, NC 28334 | 2008-07-09 |
| Find all providers in zip 28334 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245339209 | John C Midgley | Internal Medicine | 303 Tilghman Dr, Dunn Internal Medicine, Dunn, NC 28334-5524 | 2006-09-22 |
| 1154336634 | Bede Ikenna Nnolim | Internal Medicine | 520 Erwin Rd, Dunn, NC 28334-4518 | 2006-07-31 |
| 1750383550 | David L Tolentino | Internal Medicine | 803 Tilghman Dr Ste 100, Dunn, NC 28334 | 2005-08-11 |
| 1205835832 | Mouhamed Iyad Fakhri | Internal Medicine | 741b Tilghman Dr, Dunn, NC 28334-5507 | 2005-07-15 |
| 1629076690 | Josette Maria | Internal Medicine | 800 Susan Tart Rd, Dunn, NC 28334-5506 | 2005-07-13 |
| 1376195230 | Fakhri Internal Medicine Pa | Internal Medicine | 741b Tilghman Dr, Dunn, NC 28334-5507 | 2019-07-11 |
| 1922552488 | Carolina Premier Primary & Urgent Care | Internal Medicine | 303 Tilghman Dr, Dunn, NC 28334-5524 | 2016-08-12 |
| 1558712224 | Peggy Michele Robinson | Internal Medicine | 800 Tilghman Dr, Dunn, NC 28334-5510 | 2016-06-23 |
| 1124478094 | Evelyn Patrick | Internal Medicine | 800 Tilghman Dr, Dunn, NC 28334-5510 | 2016-06-21 |
| 1841684370 | Yamama Hafeez | Internal Medicine | 800 Tilghman Dr, Dunn, NC 28334-5510 | 2015-03-23 |
| Find all providers in DUNN | ||||
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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.