Randall Allen Cooper in Elkhart - Foot Surgery

Randall Allen Cooper - NPI 1811975667

Randall Allen Cooper is a Foot Surgery in Elkhart, Indiana. Randall Allen Cooper practices all healthcare services and medical treatments related to Foot Surgery. The NPI Number for Randall Allen Cooper is 1811975667. The last update date is 2010-01-27.

Randall Allen Cooper's current location address is 1723 E Bristol St, Elkhart, Indiana. You can contact this provider via phone number 5742647180 and fax number 5742641875. The mailing address for Randall Allen Cooper is 1723 E Bristol St, Elkhart, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Randall Allen Cooper
Address 1723 E Bristol St, Elkhart, Indiana
Phone Number 5742647180
Fax Number 5742641875
Sole Proprietor N
Credentials D.P.M.

NPI Number Detail

NPI Number 1811975667
Provider Enumeration Date 2006-01-03
Last Updated Date 2010-01-27

Provider Mailing Address Detail

Address 1723 E Bristol St
City Elkhart
State Indiana (IN)
Post Code 465143968
Phone Number 5742647180
Fax Number 5742641875

Provider's Primary Taxonomy Detail

Speciality Foot Surgery
Taxonomy 213Es0131X
Licence No 07000384A
Definition:
A doctor of podiatric medicine who specializes in performing foot and ankle surgeries.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100112180 IN --
480010783 IN PALMETTO GBA-RAILROAD MEDICARE

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FAQs about Randall Allen Cooper

What is the unique 10-digit identification code issued to Randall Allen Cooper by the Centers for Medicare & Medicaid Services?

The Randall Allen Cooper has been assigned the NPI (National Provider Identifier) 1811975667 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Randall Allen Cooper is physically located?

The Randall Allen Cooper is situated at the following address: 1723 E Bristol St, Elkhart, IN 465143968.

What is Randall Allen Cooper's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Randall Allen Cooper is Foot Surgery, and the corresponding taxonomy classification code for this specialized field is 213Es0131X.

When did the Randall Allen Cooper receive its 1811975667?

The Randall Allen Cooper was issued its 1811975667 on 2006-01-03, which is the date when the organization was assigned this unique identifier.

As of what date were the Randall Allen Cooper's details last updated?

The information pertaining to the Randall Allen Cooper, including its address, specialty, and other details, was most recently updated on 2010-01-27.

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