Frederick W Coop (NPI# 1205848058, PAC ID# 0749224905) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1205848058 |
| PAC ID by PECOS | 0749224905 |
| Professional Enrollment ID | I20050617000976 |
| Full Name | Frederick W Coop |
| Organization Legal Name | X-RAY ASSOCIATES OF PORT HURON PC |
| Address |
4100 S River Rd East China MI 48054-2909 |
| Phone Number | 8103297111 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1982 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 5395789531 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230216 | MCLAREN PORT HURON |
| 230031 | LAKE HURON MEDICAL CENTER |
| 230241 | ST JOHN RIVER DISTRICT HOSPITAL |
| 231314 | MCKENZIE HEALTH SYSTEM |
| 231311 | DECKERVILLE COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4100 S River Rd, East China, MI 48054-2909 | 8103297111 | X-RAY ASSOCIATES OF PORT HURON PC |
| 1221 Pine Grove Ave, Port Huron, MI 48060-3511 | 8109875000 | X-RAY ASSOCIATES OF PORT HURON PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 8% | |
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 21% | |
| MIPS_EC_225_overall | Radiology: Reminder System for Screening Mammograms | 100% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 100% |
| Organization Legal Name | X-RAY ASSOCIATES OF PORT HURON PC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David P Tracy | Diagnostic Radiology | X-ray Associates of Port Huron PC | 4100 S River Rd, East China, MI 48054-2909 |
| John J Ference | Diagnostic Radiology | X-ray Associates of Port Huron PC | 4100 S River Rd, East China, MI 48054-2909 |
| Kanu B Dalal | Radiation Oncology | X-ray Associates of Port Huron PC | 1221 Pine Grove Ave, Port Huron, MI 48060-3511 |
| Street Address |
4100 S RIVER RD |
| City | EAST CHINA |
| State | MI |
| Zip | 48054-2909 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jordan Vanoverbeke | Certified Registered Nurse Anesthetist (crna) | Ascension River District Hospital | 4100 S River Rd, East China, MI 48054-2909 |
| David P Tracy | Diagnostic Radiology | X-ray Associates of Port Huron PC | 4100 S River Rd, East China, MI 48054-2909 |
| Carrie L Cook | Certified Registered Nurse Anesthetist (crna) | Ascension River District Hospital | 4100 S River Rd, East China, MI 48054-2909 |
| Albert E Brosky Jr. | Anesthesiology | Ascension River District Hospital | 4100 S River Rd, East China, MI 48054-2909 |
| Kristen E Ruczynski | Certified Registered Nurse Anesthetist (crna) | Ascension River District Hospital | 4100 S River Rd, East China, MI 48054-2909 |
| Gabrielle E Sharrow | Certified Registered Nurse Anesthetist (crna) | Ascension River District Hospital | 4100 S River Rd, East China, MI 48054-2909 |
| Leon W Zech Jr. | Certified Registered Nurse Anesthetist (crna) | Ascension River District Hospital | 4100 S River Rd, East China, MI 48054-2909 |
| Sean D Kennedy | Certified Registered Nurse Anesthetist (crna) | Ascension River District Hospital | 4100 S River Rd, East China, MI 48054-2909 |
| Renee C Mcneill | Certified Registered Nurse Anesthetist (crna) | Ascension River District Hospital | 4100 S River Rd, East China, MI 48054-2909 |
| Richard D Burns | Certified Registered Nurse Anesthetist (crna) | Ascension River District Hospital | 4100 S River Rd, East China, MI 48054-2909 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Monica L Green | Physical Medicine and Rehabilitation | 4220 Hospital Dr, East China, MI 48054-2200 | |
| David Michel Sabbagh | Family Medicine | St. Clair Medical P.c | 3436 River Rd, East China, MI 48054-2204 |
| Renee M Susko | Family Medicine | St. Clair Medical P.c | 3436 River Rd, East China, MI 48054-2204 |
| Jessica Lynn Young | Physician Assistant | St. Clair Medical P.c | 3436 River Rd, East China, MI 48054-2204 |
| Ira M Sabbagh | General Practice | St. Clair Medical P.c | 3436 River Rd, East China, MI 48054-2204 |
| Matthew R Luttrell | Physician Assistant | St. Clair Medical P.c | 3436 River Rd, East China, MI 48054-2204 |
| Katherine Ann Blackwell | Physician Assistant | St. Clair Medical P.c | 3436 River Rd, East China, MI 48054-2204 |
| Allen James Greenway | Physician Assistant | St. Clair Medical P.c | 3436 River Rd, East China, MI 48054-2204 |
| Abida Zafar | Nephrology | St Clair Specialty Physicians PC | 4180 Hospital Dr, East China, MI 48054-2233 |
| Julie M Schock | Nurse Practitioner | St Clair Specialty Physicians PC | 4180 Hospital Dr, East China, MI 48054-2233 |
| Find all physicians in zip 48054 | |||
| City | EAST CHINA |
| Zip Code | 48054 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | EAST CHINA + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Frederick W Coop.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.