Jerry D Cooper is a Podiatrist in Idaho Falls, Idaho. Jerry D Cooper practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Jerry D Cooper is 1942299151. The last update date is 2013-06-11.
Jerry D Cooper's current location address is 2565 Channing Way, Idaho Falls, Idaho. You can contact this provider via phone number 2085232928 and fax number 2085232962. The mailing address for Jerry D Cooper is 2565 Channing Way, Idaho Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry D Cooper |
|---|---|
| Address | 2565 Channing Way, Idaho Falls, Idaho |
| Phone Number | 2085232928 |
| Fax Number | 2085232962 |
| Sole Proprietor | Y |
| Credentials | D.P.M. |
NPI Number Detail
| NPI Number | 1942299151 |
|---|---|
| Provider Enumeration Date | 2005-10-19 |
| Last Updated Date | 2013-06-11 |
Provider Mailing Address Detail
| Address | 2565 Channing Way |
|---|---|
| City | Idaho Falls |
| State | Idaho (ID) |
| Post Code | 834047516 |
| Phone Number | 2085232928 |
| Fax Number | 2085232962 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | P126 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1393600 | ID | -- |
Post Comment/ Review Below
What is the Jerry D Cooper's unique identification number?
The Jerry D Cooper has been assigned the NPI (National Provider Identifier) Number 1942299151 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
What is Jerry D Cooper's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jerry D Cooper is Podiatrist, and the taxonomy code that categorizes this field of expertise is 213E00000X.
On what date did the Jerry D Cooper receive its 1942299151 assignment from the Centers for Medicare & Medicaid Services?
The Jerry D Cooper was assigned its 1942299151 by the Centers for Medicare & Medicaid Services on 2005-10-19.
As of what date were the Jerry D Cooper's details last updated?
The information pertaining to the Jerry D Cooper, including its address, specialty, and other details, was most recently updated on 2013-06-11.
As of what date were the details related to Jerry D Cooper most recently updated or revised?
The information pertaining to Jerry D Cooper, including its address, specialty, and other relevant details, was last updated or revised on 2013-06-11.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY