David L. Cooley D.O. P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DC006823 Issued in MI

Legal business name

DAVID L. COOLEY D.O. P.C.

Practice address

3902 Monroe St
Dearborn Heights, MI 48125-2545

Phone

(313) 562-1985

Fax

(313) 562-0380

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David L. Cooley, D.O.

Title

Owner / Physician

Phone

(313) 562-1985

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414972800000",
    "number": "1558445015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3902 MONROE ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481252545",
            "telephone_number": "313-562-1985",
            "fax_number": "313-562-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3902 MONROE ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481252545",
            "telephone_number": "313-562-1985",
            "fax_number": "313-562-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID L. COOLEY D.O. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2014-11-03",
        "status": "A",
        "authorized_official_last_name": "COOLEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER / PHYSICIAN",
        "authorized_official_telephone_number": "313-562-1985",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "DC006823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE TRAVELERS",
            "identifier": "120001978",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Dearborn Heights, MI
• Providers in Dearborn Heights, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; 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.