MD Kevin D Cooper, NPI 1649299090
Clinical & Laboratory Dermatological Immunology Physician in Cleveland, OH, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1649299090
NPI Entity Type Individual
Provider Name MD Kevin D Cooper
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 11100 Euclid Ave, Cleveland, OH, US
Provider Mailing Address 11100 Euclid Ave Fl 3, Cleveland, OH, US, 441061716
Gender Male
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

207NI0002X

Taxonomy Name Clinical & Laboratory Dermatological Immunology Physician
Classification

Dermatology

Group

Allopathic & Osteopathic Physicians

License No. 35-068611
License State OH
Description A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases.

Business Address

MD Kevin D Cooper
11100 Euclid Ave

Cleveland, OH, US

Phone: 216-844-8200
Fax: 216-286-6341

Mailing Address

MD Kevin D Cooper
11100 Euclid Ave Fl 3
Cleveland, OH, US
ZIP 441061716
Phone: 216-844-3111

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

207N00000X

Allopathic & Osteopathic Physicians

Dermatology

35-068611 OH No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
742206 BUCKEYE 01
0019479400002 PA MEDICAID 05
000000523162 OH ANTHEM 01
70013591 OH RAILROAD MEDICARE 01
1049435 OH AETNA 01
000000140401 OH ANTHEM 01
000000221135 UNISON 01
0161908 OH MEDICAID 05
363444 WELLCARE 01

Health Information Exchange

Endpoint Type Endpoint Description Use Content Type Affiliation Location
DIRECT [email protected] No 11100 Euclid Ave, Cleveland, OH, US

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Melinda Zajaczkowski

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