MS. AMANDA NICOLE COOPER (NPI# 1588808562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588808562 |
Entity Type | Individual |
Full Name | MS. AMANDA NICOLE COOPER |
Credential | M.D. |
Practice Address |
N112w15415 Mequon Rd Germantown WI 53022-3410 |
Mailing Address |
788 N Jefferson St Suite 300/attn. Kaaren Butzen Milwaukee WI 53202-3718 |
Practice Telephone | 2622552112 |
Practice Fax Number | 2622556533 |
Mailing Telephone | 4142728950 |
Mailing Fax Number | 4142252929 |
Enumeration Date | 2009-04-22 |
Last Update Date | 2016-11-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207N00000X | Dermatology | 63620 | WI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 1588808562 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013316660 | Amanda Cooper | Specialist/Technologist | 7425 Westgreen Blvd, Cypress, TX 77433 | 2014-08-20 |
1790034502 | Amanda Blaize Cooper | Specialist/Technologist | 2135 S Freemont Ave, Springfield, MO 65804 | 2012-09-07 |
1548867328 | Amanda Cooper | Behavior Technician | 2425 Dunn Ave Ste 2, Jacksonville, FL 32218-4603 | 2020-10-05 |
1255826616 | Amanda Cooper | Student in an Organized Health Care Education/Training Program | 187 W Schrock Rd, Westerville, OH 43081-2890 | 2018-06-28 |
1922502947 | Amanda Marie Cooper | Physician Assistant | 2900 Hannah Blvd Ste 216, East Lansing, MI 48823 | 2018-03-23 |
1700256955 | Amanda Cooper | Case Manager/Care Coordinator | 3999 Fort Campbell Blvd, Hopkinsville, KY 42240-4929 | 2015-09-30 |
1598159089 | Amanda Cooper | Registered Nurse | Usahc Vilseck, Unit 28038, Apo, AE 09112 | 2015-03-24 |
1780931832 | Amanda Jean Cooper | Massage Therapist | 8216 S Holly St, Centennial, CO 80122-4012 | 2012-08-08 |
1114286846 | Amanda Cooper | Counselor | 42 Wright Street, Palmer, MA 01069-1156 | 2012-05-15 |
1790964567 | Amanda Cooper | Surgery | 500 University Dr, Hershey, PA 17033-2360 | 2007-10-30 |
Street Address |
N112W15415 MEQUON RD |
City | GERMANTOWN |
State | WI |
Zip Code | 53022-3410 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295762730 | Colleen Ann Yaggie | Physical Therapist | N112w15415 Mequon Rd, Germantown, WI 53022-3410 | 2006-06-28 |
1285084335 | Megan Rotzenberg | Internal Medicine | N112w15415 Mequon Rd, Germantown, WI 53022-3410 | 2016-06-20 |
1215325873 | Cheryl Kaminski | Nurse Practitioner | N112w15415 Mequon Rd, Germantown, WI 53022 | 2015-01-06 |
1083045801 | Thea Cs Hunter-spiekermann | Counselor | N112w15415 Mequon Rd, Germantown, WI 53022-3410 | 2013-12-04 |
1407121676 | Karen Alice Brown | Nurse Practitioner | N112w15415 Mequon Rd, Germantown, WI 53022-3410 | 2012-03-20 |
1528218153 | William Robert Oconnell | Physical Therapist | N112w15415 Mequon Rd, Germantown, WI 53022-3410 | 2008-09-18 |
1619140001 | Christopher Edward Weber | Internal Medicine | N112w15415 Mequon Rd, Germantown, WI 53022-3410 | 2008-04-08 |
1972643252 | Avi N Bernstein | Internal Medicine | N112w15415 Mequon Rd, Germantown Clinic, Germantown, WI 53022-3410 | 2007-02-07 |
1881769776 | Thomas Nicholas Czarnecki Jr. | Podiatrist | N112w15415 Mequon Rd, Germantown, WI 53022-3410 | 2006-11-23 |
1194899005 | Stephanie Anne Momper | Internal Medicine | N112w15415 Mequon Rd, Germantown, WI 53022-3410 | 2006-11-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831669407 | Margaret Jo Mulder | Chiropractor | W164 N11269 Squire Drive Suite B, Germantown, WI 53022 | 2018-11-27 |
1316441579 | Community Home Care Services | Home Health | N112 W16298 Mequon Rd, 127, Germantown, WI 53022 | 2018-03-22 |
1811426224 | Wi-care LLC | In Home Supportive Care | W175n11163 Stonewood Drive Ste 220, Germantown, WI 53022 | 2017-06-08 |
1134675358 | Kojo Bempong | Anesthesiologist Assistant | Ahcmg Anesthesiology, 4025 North 92nd Street, Wauwatosa, WI 53022 | 2016-08-28 |
1336501915 | Ashley Russell | Occupational Therapist | W175 N11117 Stonewood Drive, Suite 100, Germantown, WI 53022 | 2016-03-23 |
1134535735 | Erin Therese Grueneberg | Nurse Practitioner | W153 N9990 Neptune Drive, Germantown, WI 53022 | 2014-07-03 |
1306286836 | Kyle W Mcmahon | Occupational Therapist | W175 N1117 Stonewood Drive, Suite 100, Germantown, Wi, WI 53022 | 2013-06-28 |
1326354713 | Brittany Skogg | Physical Therapist | W175 W11117 Stonewood Dr., Suite 100, Germantown, WI 53022 | 2010-08-24 |
1669635066 | Joseph D Deguzman Dds Ms Sc | Clinic/Center | W172 N9723 Division Road, Suite A, Germantown, WI 53022 | 2008-07-07 |
1457513988 | Rustin A. West | Dentist | W172 N9723 Division Road Suite A, Germantown, WI 53022 | 2008-06-26 |
Find all providers in zip 53022 |
Taxonomy Code | 207N00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902205206 | Affiliated Dermatologists | Dermatology | N96w17035 Division Rd, Suite A, Germantown, WI 53022-6419 | 2014-08-22 |
1407952559 | Lynn M Foley | Dermatology | 2195 West Street, Germantown, TN 38138-3830 | 2006-09-16 |
1366547713 | Suparna Mullick | Dermatology | 9760 Lipsey Cv, Germantown, TN 38139-8076 | 2006-09-13 |
1174637433 | Purvisha J Patel | Dermatology | 7658 Poplar Pike, Germantown, TN 38138-5941 | 2006-08-17 |
1316955578 | Adam W Baker | Dermatology | 2120 Merchants Row, Suite 2, Germantown, TN 38138 | 2006-08-04 |
1154862217 | Mullick Dermatology, Pllc | Dermatology | 9760 Lipsey Cv, Germantown, TN 38139-8076 | 2017-03-09 |
1770036337 | Jodie Darlene Holmes | Dermatology | 7658 Poplar Pike, Advanced Dermatology, Germantown, TN 38138-3813 | 2016-08-01 |
1093007767 | Matthew Craig Gordon | Dermatology | 7658 Poplar Pike, Germantown, TN 38138 | 2011-05-12 |
1275832461 | Marianne M Junck | Dermatology | N112w17975 Mequon Rd, Germantown, WI 53022-2425 | 2011-03-28 |
1184850992 | Brendan Brian Louis Pillemer | Dermatology | 19735 Germantown Rd, Suite 210, Germantown, MD 20874-1214 | 2009-06-08 |
Find all providers in GERMANTOWN |
City | GERMANTOWN |
Zip Code | 53022 |
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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.