Coopercare Az, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

COOPERCARE AZ, PLLC

Practice address

20033 N 19TH Ave Ste 111
Phoenix, AZ 85027-4247

Phone

(623) 582-2355

NPI assigned

Feb 2, 2023

Last updated

Feb 2, 2023By 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

Milissa Ann Cooper, DONPI 1598752164

Title

Owner

Phone

(623) 582-2355

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Interoperability endpoints

• Direct secure messaging: admin@coopercareaz.com

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Milissa Ann Cooper, D.O.

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1598752164
  Medicare reassignment NPD Authorized official
• Alexander Tai Nelson, LAC

  • Counselor
  • Scottsdale, AZ
  • NPI 1164108668
  NPD

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

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675296000000",
    "number": "1922704808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20033 N 19TH AVE STE 111",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274247",
            "telephone_number": "623-582-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20033 N 19TH AVE STE 111",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274247",
            "telephone_number": "623-582-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPERCARE AZ, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "MILISSA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-582-2355",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "354126",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0394570",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@coopercareaz.com",
            "affiliation": "N",
            "endpointDescription": "office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "20033 N 19th Ave Ste 111",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850274247",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@coopercareaz.com",
            "affiliation": "N",
            "endpointDescription": "office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "20033 N 19th Ave Ste 111",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850274247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mindy Cooper, CRNA
• Nailah Cooper, MD
• Perry Cooper, L.AC.
• Sarah Cooper, LMSW, CCTP
• Shatiana Cooper
• Christine Kay Coopman, RPH
• Emily Coops, MA, LPC, NCC
• Kristen Coor, DPT
• Vasanth Kiran Coorg, MD
• Detrick Mark Cooter

• Family Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.