Cooper L Rendon, PA-C

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

11671 Issued in MN

Practice address

7635 Addisen Path
Inver Grove Heights, MN 55077-4108

Phone

(805) 698-8480

NPI assigned

Sep 26, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Key CorporationGroup PAC ID 9032009238, 53 clinicians

Presence Telehealth PLLCGroup PAC ID 9931452430, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Presence Telehealth PLLC

  • Urgent Care Clinic/Center
  • Rochester, MN
  • NPI 1780162552
  Medicare reassignment Care Compare group Authorized official
• Presence Telehealth PLLC

  • Urgent Care Clinic/Center
  • Cottage Grove, MN
  • NPI 1003590423
  NPD (past) Authorized official
• Presence Telehealth PLLC

  • Urgent Care Clinic/Center
  • Eagan, MN
  • NPI 1093499428
  NPD (past) Authorized official
• Presence Telehealth PLLC

  • Urgent Care Clinic/Center
  • Faribault, MN
  • NPI 1447934872
  NPD (past) Authorized official
• Presence Telehealth PLLC

  • Urgent Care Clinic/Center
  • Lakeville, MN
  • NPI 1801570239
  NPD (past) Authorized official
• Presence Telehealth PLLC

  • Urgent Care Clinic/Center
  • Owatonna, MN
  • NPI 1962186395
  NPD (past) Authorized official
• Key Corporation

  • Occupational Therapist
  • Saint Paul, MN
  • NPI 1639239445
  Care Compare group
• Medexpress Urgent Care Minnesota P.C.

  • Urgent Care Clinic/Center
  • Rochester, MN
  • NPI 1366968448

  Single Specialty

  NPD (past)
• Sullivan Urgent Aid Centers, LTD

  • Emergency Medicine Physician
  • Tinley Park, IL
  • NPI 1235175803

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1003199068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7635 ADDISEN PATH",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550774108",
            "telephone_number": "805-698-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7635 ADDISEN PATH",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550774108",
            "telephone_number": "805-698-8480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1575 20th St NW",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Faribault",
            "state": "MN",
            "postal_code": "550212930",
            "country_code": "US",
            "telephone_number": "507-333-3351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENDON",
        "first_name": "COOPER",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-26",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085-004146",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MN",
            "license": "11671",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "MN",
            "license": "11671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Rae Quinlan
• Katherine Quinn, LGSW
• Kelsey Rehome, MA, LPCC
• Paige Reibert
• Reid Health Service Corporation
• Restoration for All Inc.
• Lydia Ricard, MS
• Roodly Richard
• Anthony J Richie, MD
• Chrystell Rivard

• Occupational Medicine Physician in Inver Grove Heights, MN
• Providers in Inver Grove Heights, MN by specialty
• Occupational Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.