Cooper R Gundry, MD | |
5775 Wayzata Boulevard, Suite 190, St Louis Park, MN 55416 | |
(952) 541-1840 | |
(952) 513-6880 |
Full Name | Cooper R Gundry |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 41 Years |
Location | 5775 Wayzata Boulevard, St Louis Park, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659348431 | NPI | - | NPPES |
280202500 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 33771 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Network Imaging Associates Llc | 1355373895 | 6 |
Smi Imaging Llc | 3476696220 | 234 |
Smi Imaging Llc | 3476696220 | 234 |
Simonmed Imaging Florida Llc | 6608036108 | 145 |
Howard Simon Md Pc | 7214369966 | 21 |
Entity Name | Smi Imaging Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972004489 PECOS PAC ID: 3476696220 Enrollment ID: O20180829003142 |
Entity Name | Network Imaging Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588739247 PECOS PAC ID: 1355373895 Enrollment ID: O20221221001168 |
Mailing Address | Practice Location Address |
---|---|
Cooper R Gundry, MD Po Box 1450 Nw6035, Minneapolis, MN 55485-6035 Ph: (952) 542-8553 | Cooper R Gundry, MD 5775 Wayzata Boulevard, Suite 190, St Louis Park, MN 55416 Ph: (952) 541-1840 |
Dr. Chung M Lee, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3212 | |
Kenneth B Heithoff, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 5775 Wayzata Boulevard, Suite 190, St Louis Park, MN 55416 Phone: 952-541-1840 Fax: 952-513-6880 | |
Mark E Myers, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5775 Wayzata Blvd, Suite 190, St Louis Park, MN 55416 Phone: 952-525-6328 Fax: 952-513-6880 | |
Dr. Michael T Akin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 959-299-3539 | |
Deborah Steen, Radiology Medicare: Not Enrolled in Medicare Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5391 | |
Paige N Misselt, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 612-385-0911 | |
Thomas J Gilbert Jr., MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5775 Wayzata Boulevard, Suite 190, St Louis Park, MN 55416 Phone: 952-541-1840 Fax: 952-513-6880 |