Charles Cooper (NPI# 1336505148, PAC ID# 6709175755) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1336505148 |
| PAC ID by PECOS | 6709175755 |
| Professional Enrollment ID | I20160516001006 |
| Full Name | Charles Cooper |
| Organization Legal Name | LA PORTE COUNTY ANESTHESIA ASSOCIATES, LLC |
| Address |
3500 Franciscan Way Michigan City IN 46360-0021 |
| Phone Number | 2198710933 |
| Gender | M |
| Medical School | RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY |
| Graduation Year | 2015 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 4688633241 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150015 | FRANCISCAN ST ANTHONY HEALTH - MICHIGAN CITY |
| Address | Phone | Organization |
|---|---|---|
| 3500 Franciscan Way, Michigan City, IN 46360-0021 | 2198710933 | LA PORTE COUNTY ANESTHESIA ASSOCIATES, LLC |
| Organization Legal Name | LA PORTE COUNTY ANESTHESIA ASSOCIATES, LLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yvette M George | Certified Registered Nurse Anesthetist (crna) | La Porte County Anesthesia Associates, LLC | 301 W Homer St, St Anthony Mem Health Centers, Michigan City, IN 46360-4358 |
| Natalia Segal | Anesthesiology | La Porte County Anesthesia Associates, LLC | 3500 Franciscan Way, Michigan City, IN 46360-0021 |
| Dale A Goodman | Anesthesiology | La Porte County Anesthesia Associates, LLC | 301 W Homer St, St Anthony Mem Health Centers, Michigan City, IN 46360-4358 |
| Ashleigh Griechen | Certified Registered Nurse Anesthetist (crna) | La Porte County Anesthesia Associates, LLC | 301 W Homer St, St Anthony Mem Health Centers, Michigan City, IN 46360-4358 |
| Shashi A Patel | Anesthesiology | La Porte County Anesthesia Associates, LLC | 301 W Homer St, St Anthony Mem Health Centers, Michigan City, IN 46360-4358 |
| Tayyab W Khan | Anesthesiology | La Porte County Anesthesia Associates, LLC | 301 W Homer St, St Anthony Mem Health Centers, Michigan City, IN 46360-4358 |
| Shanmugham Vadivelu | Anesthesiology | La Porte County Anesthesia Associates, LLC | 3500 Franciscan Way, Michigan City, IN 46360-0021 |
| Ann Marie C Murillo | Anesthesiology | La Porte County Anesthesia Associates, LLC | 1507 Wabash St, 400c, Michigan City, IN 46360-4361 |
| Xiaomin Liang | Anesthesiology | La Porte County Anesthesia Associates, LLC | 301 W Homer St, St Anthony Mem Health Centers, Michigan City, IN 46360-4358 |
| Kandiyur Seshadri | Anesthesiology | La Porte County Anesthesia Associates, LLC | 301 W Homer St, St Anthony Mem Health Centers, Michigan City, IN 46360-4358 |
| Street Address |
3500 FRANCISCAN WAY |
| City | MICHIGAN CITY |
| State | IN |
| Zip | 46360-0021 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vidya S Kora | Internal Medicine | Franciscan Physician Network | 3500 Franciscan Way, Michigan City, IN 46360-0021 |
| Brian Paul Dickover | Pulmonary Disease | Franciscan Physician Network | 3500 Franciscan Way, Suite 400, Michigan City, IN 46360-0021 |
| Jennifa K Thomas | Nurse Practitioner | Franciscan Physician Network | 3500 Franciscan Way, Michigan City, IN 46360-0021 |
| Paul W Cheng | Cardiovascular Disease (cardiology) | Franciscan Physician Network | 3500 Franciscan Way, Michigan City, IN 46360-0021 |
| Stan Tovsky | Anesthesiology | Lakeshore Interventional Pain Associates, LLC | 3500 Franciscan Way, Michigan City, IN 46360-0021 |
| Olusola O Ogundipe | Hematology/oncology | Franciscan Physician Network | 3500 Franciscan Way, Michigan City, IN 46360-0021 |
| Syed R Majid | Hospitalist | Franciscan Physician Network | 3500 Franciscan Way, Michigan City, IN 46360-0021 |
| Peter A. Zack | Emergency Medicine | Epmg of Indiana PC | 3500 Franciscan Way, Michigan City, IN 46360-0021 |
| Natalia Segal | Anesthesiology | La Porte County Anesthesia Associates, LLC | 3500 Franciscan Way, Michigan City, IN 46360-0021 |
| Jeremy D Nathaniel | Emergency Medicine | Epmg of Indiana PC | 3500 Franciscan Way, Michigan City, IN 46360-0021 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanpreet Kaur | Pulmonary Disease | Franciscan Physician Network | 3500 N Franciscan Way, Suite 400, Michigan City, IN 46360-0021 |
| Hosn Maatouk | Hospitalist | Franciscan Physician Network | 3500 Franciscan Way, Michigan City, IN 46360-0021 |
| Abdullah Quddus | Interventional Cardiology | Franciscan Physician Network | 3500 Franciscan Way, Suite 400, Michigan City, IN 46360-0021 |
| James O Hartson | Orthopedic Surgery | Franciscan Physician Network | 3500 Franciscan Way, Michigan City, IN 46360-0021 |
| Jamil Ahmed | Anesthesiology | 3500 Franciscan Way, Mob 4th Fl Suite 4e, Michigan City, IN 46360-0021 | |
| Rachel Kennedy | Nurse Practitioner | Epmg of Indiana PC | 3500 Franciscan Way, Michigan City, IN 46360-0021 |
| Shanmugham Vadivelu | Anesthesiology | La Porte County Anesthesia Associates, LLC | 3500 Franciscan Way, Michigan City, IN 46360-0021 |
| Alfredo Pamintuan | Obstetrics/gynecology | Franciscan Physician Network | 3500 Franciscan Way, Suite 300, Michigan City, IN 46360-0021 |
| Amanda Ritthaler | Nurse Practitioner | Franciscan Physician Network | 3500 Franciscan Way, Suite 300, Michigan City, IN 46360-0021 |
| William G Espar | Cardiovascular Disease (cardiology) | Franciscan Physician Network | 3500 Franciscan Way, Suite 300, Michigan City, IN 46360-0021 |
| Find all physicians in zip 46360 | |||
| City | MICHIGAN CITY |
| Zip Code | 46360 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | MICHIGAN CITY + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Charles Cooper.
| 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.