CRYSTAL COOPER (NPI# 1689103798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689103798 |
| Entity Type | Individual |
| Full Name | CRYSTAL COOPER |
| Credential | MD |
| Practice Address |
24911 Little Mack Ave Ste C Saint Clair Shores MI 48080-3200 |
| Practice Telephone | 5867772050 |
| Practice Fax Number | 5867772189 |
| Mailing Telephone | 5867772050 |
| Mailing Fax Number | 5867772189 |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2020-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 036153220 | IL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 4301112029 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154803815 | Crystal G Cooper | Speech-Language Pathologist | 5008 Mark Ln, Mt Pleasant, TX 75455-6506 | 2018-08-29 |
| 1053655688 | Crystal Cooper | Counselor | 655 S Orcas St, Suite 122, Seattle, WA 98108-2648 | 2012-11-20 |
| 1760611230 | Crystal Lee Cooper | Licensed Practical Nurse | 2908 Amoy Ganges Rd, Mansfield, OH 44903-9769 | 2009-07-06 |
| 1942453261 | Crystal M. Cooper | Physician Assistant | 900 Independence Rd., Coal City, WV 25823-1240 | 2008-10-30 |
| 1962559591 | Crystal Marnette Cooper | Pharmacist | 6319 Sunlit Orchard Dr, Houston, TX 77072-2485 | 2007-01-04 |
| 1376017269 | Crystal Lakeina Cooper | Social Worker | 807 E Washington St, Medina, OH 44256-3338 | 2019-01-14 |
| 1821513482 | Crystal Cooper | Case Manager/Care Coordinator | 710 N High St, Mount Orab, OH 45154-8349 | 2017-08-04 |
| 1154712586 | Crystal Cooper | Counselor | 30 Old Lyman Rd, South Hadley, MA 01075-2630 | 2015-02-06 |
| 1679973002 | Crystal Cooper | Licensed Practical Nurse | 650 S Peoria Ave, Tulsa, OK 74120-4429 | 2014-09-04 |
| 1699029462 | Crystal Ann Cooper | Nurse Practitioner | 39 Cumberland Gap Plz, Gray, KY 40734-4536 | 2012-11-01 |
| Street Address |
24911 LITTLE MACK AVE STE C |
| City | SAINT CLAIR SHORES |
| State | MI |
| Zip Code | 48080-3200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275525966 | Sigmund O Mcintyre | Family Medicine | 24911 Little Mack Ave Ste C, Saint Clair Shores, MI 48080-3200 | 2005-08-18 |
| 1245851039 | William Henry Bachman | Student in an Organized Health Care Education/Training Program | 24911 Little Mack Ave Ste C, Saint Clair Shores, MI 48080-3200 | 2020-05-03 |
| 1467072017 | Michelle Tavera | Family Medicine | 24911 Little Mack Ave Ste C, Saint Clair Shores, MI 48080-3200 | 2020-04-23 |
| 1619539418 | Julia Joanna Knobelsdorf | Family Medicine | 24911 Little Mack Ave Ste C, Saint Clair Shores, MI 48080-3200 | 2019-07-01 |
| 1427610518 | Nicole Ognjanovski | Student in an Organized Health Care Education/Training Program | 24911 Little Mack Ave Ste C, Saint Clair Shores, MI 48080-3200 | 2019-06-28 |
| 1033770078 | Emianka Sotiri | Family Medicine | 24911 Little Mack Ave Ste C, Saint Clair Shores, MI 48080-3200 | 2019-06-20 |
| 1194286484 | Camille Brazzle | Student in an Organized Health Care Education/Training Program | 24911 Little Mack Ave Ste C, Saint Clair Shores, MI 48080-3200 | 2019-03-28 |
| 1952862336 | Ana Ifti | Student in an Organized Health Care Education/Training Program | 24911 Little Mack Ave Ste C, Saint Clair Shores, MI 48080-3200 | 2019-03-27 |
| 1952862765 | Bradley Gonik | Student in an Organized Health Care Education/Training Program | 24911 Little Mack Ave Ste C, Saint Clair Shores, MI 48080-3200 | 2019-03-26 |
| 1629561907 | Kathryn Elyse Cox | Family Medicine | 24911 Little Mack Ave Ste C, Saint Clair Shores, MI 48080-3200 | 2018-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508482084 | Farrah Aleema Rajab | Family Medicine | 24911 Little Mack Avenue, Suite C, St. Clair Shores, MI 48080 | 2020-06-22 |
| 1558986141 | Julia Anastazja Krakowska | Family Medicine | 24911 Little Mack, Suite C, St. Clair Shores, MI 48080 | 2020-06-10 |
| 1972073567 | Joyce Stepnak | Social Worker | 19611 E. 8 Mile Rd, Scs, MI 48080 | 2018-11-27 |
| 1487134177 | Bonnie Girson | Social Worker | 23409 Jefferson Ave Ste 100, Saint Clair Shores, MI 48080 | 2018-08-21 |
| 1609309913 | Park Pharmacy Scs LLC | Pharmacy | 20225 E 9 Mile Rd Ste 120a, Saint Clair Shores, MI 48080 | 2017-04-05 |
| 1730564055 | Mary Rose Giroux | Psychologist | 22516 Overlake St, St. Clair Shores, MI 48080 | 2015-07-28 |
| 1962882910 | Ali Tarif Bazzy | Family Medicine | 20225 E 9 Mile Rd Ste A, Saint Clair Shores, MI 48080 | 2015-06-04 |
| 1497156228 | Kelly Zalewski | Social Worker | 24631 Jefferson Ave, Saint Clair Shores, MI 48080 | 2014-09-11 |
| 1669871364 | Mallory Margret Gordon | Psychologist | 19900 E. 10 Mile Rd., Ste. 102, Saint Clair Shores, MI 48080 | 2014-08-19 |
| 1932549375 | Alexander Peter Bill | Otolaryngology | 22631 Greater Mack Ave Ste 200, Saint Clair Shores, MI 48080 | 2013-06-30 |
| Find all providers in zip 48080 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194949172 | Daniel Scott Anderson | Emergency Medicine | 23324 Edsel Ford Ct, Saint Clair Shores, MI 48080-2569 | 2007-04-12 |
| 1679528699 | Urgent Care Physicians, P.C. | Emergency Medicine | 21000 E 12 Mile Rd, Suite 105, Saint Clair Shores, MI 48081-1116 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386265452 | Kyle Patrick Doran | Emergency Medicine | Sparrow Health System, 1215 E Michigan Avenue, Lansing, MI 48912 | 2020-04-30 |
| 1750901658 | Annika Van Wieren | Emergency Medicine | 22101 Moross Road, Emergency Department, Detroit, MI 48236 | 2020-04-21 |
| 1245850171 | Dema Fawaz | Emergency Medicine | Beaumont Hospital, Royal Oak, Gme Office, 3601 W. 13 Mile Rd, Royal Oak, MI 48073 | 2020-04-21 |
| 1568002004 | Munson Medical Center | Emergency Medicine | 5085 Anna Dr Ste B&c, Traverse City, MI 49684-7475 | 2020-01-13 |
| 1366002735 | Mansour Mansour | Emergency Medicine | 4965 Heather Dr Apt 107, Dearborn, MI 48126-2862 | 2019-06-18 |
| 1376101949 | David G Morrison IIi | Emergency Medicine | 1815 Dallas Ave, Royal Oak, MI 48067-3577 | 2019-05-30 |
| 1851852263 | Samantha Allegra Chamberlain | Emergency Medicine | 22101 Moross Rd., Emergency Department, Detroit, MI 48236-2148 | 2019-03-28 |
| 1467913756 | Andrew Michael Schock | Emergency Medicine | Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 | 2019-03-28 |
| 1598226029 | Alicia Paulette Flores | Emergency Medicine | Henry Ford Wyandotte Hosptial, Medical Education, 2333 Biddle Ave, Wyandotte, MI 48192 | 2019-03-27 |
| 1417417536 | Joseph Julius Vermeulen | Emergency Medicine | 2799 W Grand Blvd, Cfp 258, Detroit, MI 48202-2689 | 2019-03-24 |
| Find all providers with the same taxonomy | ||||
| City | SAINT CLAIR SHORES |
| Zip Code | 48080 |
Please comment or provide details below to improve the information on CRYSTAL COOPER.
| 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.