Randy I Cooper, MD | |
7362 W Thunderbird Rd Ste 103, Peoria, AZ 85381-5028 | |
(480) 610-6152 | |
(480) 610-6189 |
Full Name | Randy I Cooper |
---|---|
Gender | Male |
Speciality | Nephrology |
Experience | 30 Years |
Location | 7362 W Thunderbird Rd Ste 103, Peoria, Arizona |
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 |
---|---|---|---|
1154316495 | NPI | - | NPPES |
722464 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | 30432 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Southwest Kidney Dialysis - Phoenix (dva) | Phoenix, AZ | Dialysis facility |
Banner - University Medical Center Phoenix | Phoenix, AZ | Hospital |
St. Joseph's Hospital And Medical Center | Phoenix, AZ | Hospital |
John C. Lincoln North Mountain Hospital | Phoenix, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southwest Kidney Institute Vascular Center Llc | 4183801350 | 3 |
Southwest Kidney Institute Plc | 8224930987 | 79 |
Entity Name | Southwest Kidney Institute Plc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659316008 PECOS PAC ID: 8224930987 Enrollment ID: O20040211001069 |
Entity Name | Southwest Kidney Institute Vascular Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134426893 PECOS PAC ID: 4183801350 Enrollment ID: O20110616000084 |
Entity Name | Southwest Kidney Institute Scottsdale Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902231012 PECOS PAC ID: 3577798313 Enrollment ID: O20131101000457 |
Entity Name | Ski Ambulatory Surgical Centers, Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1275077414 PECOS PAC ID: 7911289301 Enrollment ID: O20170117001744 |
Entity Name | Ski Ambulatory Surgical Centers, Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1174067318 PECOS PAC ID: 7911289301 Enrollment ID: O20170119001324 |
Entity Name | Ski Ambulatory Surgical Centers, Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1023567260 PECOS PAC ID: 7911289301 Enrollment ID: O20170208002788 |
Mailing Address | Practice Location Address |
---|---|
Randy I Cooper, MD 2149 E Warner Rd, Suite 101, Tempe, AZ 85284-3494 Ph: (480) 610-6100 | Randy I Cooper, MD 7362 W Thunderbird Rd Ste 103, Peoria, AZ 85381-5028 Ph: (480) 610-6152 |
Moustafa Banna, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 13460 N 94th Dr Ste J1, Peoria, AZ 85381 Phone: 623-876-8816 Fax: 623-298-0168 | |
Dr. Akshay Vijay Shah, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 14155 N 83rd Ave, Suite 122, Peoria, AZ 85381 Phone: 623-773-1161 Fax: 623-773-1181 | |
Brent Smoots, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 15525 N 83rd Ave Ste 104, Peoria, AZ 85382 Phone: 877-809-5092 | |
Wilbur Knowlton Freeman Iii, DO Nephrology Medicare: Medicare Enrolled Practice Location: 13460 N 94th Drive Ste. J-1, Peoria, AZ 85381 Phone: 623-876-8816 Fax: 623-298-0168 | |
Gilbert Ortega, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 13965 N 75th Ave, Peoria, AZ 85381 Phone: 602-734-0252 | |
Manoj Rawal, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 13460 N 94th Drive, Ste J-1, Peoria, AZ 85381 Phone: 623-876-8816 Fax: 623-298-0168 | |
Dr. Robert R Orr, D.O. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 9171 W Thunderbird Rd, Suite 101, Peoria, AZ 85381 Phone: 623-815-7800 Fax: 623-815-7900 |