Cooper Surgery, Inc.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

41864 Issued in TN

Legal business name

COOPER SURGERY, INC.

Practice address

10810 Parkside Drive
Suite 204
Knoxville, TN 37934

Phone

(865) 675-2080

Fax

(877) 896-7807

NPI assigned

Jan 29, 2010

Last updated

Sep 16, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark Hayden Cooper, M.D.

Title

Owner Thoracic Surgeon

Phone

(865) 257-5896

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1264723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442361600000",
    "number": "1427389543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10810 PARKSIDE DRIVE",
            "address_2": "SUITE 204",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37934",
            "telephone_number": "865-675-2080",
            "fax_number": "877-896-7807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10810 PARKSIDE DRIVE",
            "address_2": "SUITE 204",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37934",
            "telephone_number": "865-675-2080",
            "fax_number": "877-896-7807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPER SURGERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-29",
        "last_updated": "2015-09-16",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "HAYDEN",
        "authorized_official_title_or_position": "OWNER THORACIC SURGEON",
        "authorized_official_telephone_number": "865-257-5896",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "TN",
            "license": "41864",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TN",
            "license": "41864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER MARK H COOPER MD",
            "identifier": "1346376613",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1523647",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Sierra Cooke
• Andrea Cool, PHARMD
• Caroline E Cooley, MD
• Rika Nichole Cooley
• Tyler Coombes, MD
• Lora Cooper-Yoakum, NP
• Amy Cooper
• Andrew Ward Cooper
• Ann Cooper, LMSW
• Ashley Cooper, MS

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.