Mark W Cooper, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

3895 Issued in OH

Practice address

1103 Village Square Dr
Suite 100
Perrysburg, OH 43551-1783

Phone

(419) 874-8745

Fax

(419) 874-8748

NPI assigned

Jul 29, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Oakmont Medical LLC

  • Family Medicine Physician
  • Perrysburg, OH
  • NPI 1174561732
  NPD (past) Authorized official
• Wellcare Physicians Group LLC

  • Family Medicine Physician
  • Maumee, OH
  • NPI 1558567636
  NPD (past)

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1801896014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 VILLAGE SQUARE DR",
            "address_2": "SUITE 100",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511783",
            "telephone_number": "419-874-8745",
            "fax_number": "419-874-8748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 VILLAGE SQUARE DR",
            "address_2": "SUITE 100",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511783",
            "telephone_number": "419-874-8745",
            "fax_number": "419-874-8748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "MARK",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "3895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0608631",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Complete Care Physical Therapy, LLC
• Abigail Grace Cook
• Jean M Cook, L.P.C.C.
• Shauna Cooley
• Christopher J Cooper, M.D.
• Timothy E. Coppock, PCC
• Stephanie Corazzol, NP
• Luke Corrigan
• Marie Kathleen Corwin Galloro
• Costco Wholesale Corporation

• Family Medicine Physician in Perrysburg, OH
• Providers in Perrysburg, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.