Mindy Ellen Cooper-Smith, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

G39196 Issued in CA

Practice address

2170 South Ave
Barton Memorial Hospital Pathology
South Lake Tahoe, CA 96150

Phone

(530) 412-2309

NPI assigned

Oct 18, 2005

Sex

Female

Sole proprietor

No

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 NV, CA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Tahoe Carson Valley Medical Group Inc

  • Family Medicine Physician
  • South Lake Tahoe, CA
  • NPI 1508865528
  Medicare reassignment NPD
• Western Pathology Consultants, LTD

  • Anatomic Pathology & Clinical Pathology Physician
  • Reno, NV
  • NPI 1003366188
  Medicare reassignment NPD
• Barton Healthcare System

  • Internal Medicine Physician
  • South Lake Tahoe, CA
  • NPI 1235196015
  Medicare reassignment
• Western Pathology Consultants, LTD

  • Clinical Pathology/Laboratory Medicine Physician
  • Reno, NV
  • NPI 1770587511
  NPD
• Eastern Plumas Health Care District

  • Medicare Defined Swing Bed Hospital Unit
  • Portola, CA
  • NPI 1164428967
  NPD (past)
• Last Frontier Healthcare District

  • Rural Health Clinic/Center
  • Alturas, CA
  • NPI 1487764064
  NPD (past)
• Hoffman, MD, Associated Pathologists Chartered

  • Anatomic Pathology & Clinical Pathology Physician
  • Las Vegas, NV
  • NPI 1396810057
  NPD (past)

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410134400000",
    "number": "1396734877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 SOUTH AVE",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "96150",
            "telephone_number": "530-412-2309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 SOUTH AVE",
            "address_2": "BARTON MEMORIAL HOSPITAL PATHOLOGY",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "96150",
            "telephone_number": "530-412-2309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER-SMITH",
        "first_name": "MINDY",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2014-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "G39196",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NV",
            "license": "5336",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AZ",
            "license": "12991",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Scott Collin, PT
• Natalie Evelyn Collin
• Lisa Collins, PT
• Sebastian Combes, PTA
• Molly Rom Comunale
• Gary Harry Cooper, MD
• Jennifer Lynn Cooper, P.T.
• William Hershel Cottrell, MD
• County of El Dorado
• Christopher Howard Cromwell, BACHELORS OF ARTS

• Anatomic Pathology & Clinical Pathology Physician in South Lake Tahoe, CA
• Providers in South Lake Tahoe, CA by specialty
• Anatomic Pathology & Clinical Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.