M D Cooper Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35048099C Issued in OH

Legal business name

M D COOPER INC.

Practice address

2819 Hayes Ave
Ste. 6
Sandusky, OH 44870-5391

Phone

(419) 626-0225

Fax

(419) 626-0755

NPI assigned

Mar 25, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Marsha D Cooper

Title

Owner

Phone

(419) 626-0225

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1269475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269475200000",
    "number": "1003130683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2819 HAYES AVE",
            "address_2": "STE. 6",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448705391",
            "telephone_number": "419-626-0225",
            "fax_number": "419-626-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2819 HAYES AVE",
            "address_2": "STE. 6",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448705391",
            "telephone_number": "419-626-0225",
            "fax_number": "419-626-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M D COOPER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-25",
        "last_updated": "2010-03-25",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-626-0225",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35048099C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0528638",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheena P Lutz
• Melissa Lyle, SLP
• Brianna Lynn
• Sarah Marie Lynn, RN
• Michael J Lyster IV, D.O.
• Alivia Mae Macdonald, MA CCC-SLP
• Jared R. Macdonald
• Karen Lynn Machovina, LPN
• Morgan Maclean-Beran, DPM
• Alexis Maldonado

• Internal Medicine Physician in Sandusky, OH
• Providers in Sandusky, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.