MS. AMANDA NICOLE COOPER


Address: N112w15415 Mequon Rd, Germantown, WI 53022-3410
Phone: 2622552112

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology 63620 WI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI 1588808562 05

Other Providers AMANDA COOPER

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

Office Location

Street Address N112W15415 MEQUON RD
City GERMANTOWN
State WI
Zip Code 53022-3410

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City GERMANTOWN
Zip Code 53022

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Dataset Information

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.

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