Dr Ivan N Cooper, DPM, PC | |
1932 Alcoa Hwy, Suite C-480, Knoxville, TN 37920-1527 | |
(865) 632-5700 | |
(865) 632-5778 |
Full Name | Dr Ivan N Cooper |
---|---|
Gender | Male |
Speciality | Podiatrist |
Location | 1932 Alcoa Hwy, Knoxville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952491748 | NPI | - | NPPES |
2008103 | Other | TN | BLUE CROSS |
3350481 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | DPM132 (Tennessee) | Primary |
Provider Name | Ivan N. Cooper, Dpm, Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1255413316 PECOS PAC ID: 8426177627 Enrollment ID: O20130829000373 |
Mailing Address | Practice Location Address |
---|---|
Dr Ivan N Cooper, DPM, PC 1932 Alcoa Hwy, Suite C-480, Knoxville, TN 37920-1527 Ph: (865) 632-5700 | Dr Ivan N Cooper, DPM, PC 1932 Alcoa Hwy, Suite C-480, Knoxville, TN 37920-1527 Ph: (865) 632-5700 |
Southwell Medical Llc. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 207 Lake Forest Dr, Knoxville, TN 37920 Phone: 865-455-4817 | |
Corp Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 9330 Park West Blvd, Suite 300, Knoxville, TN 37923 Phone: 865-531-8449 Fax: 865-692-9142 | |
Dr. Kendale L Ritchey, MD Podiatrist Medicare: Accepting Medicare Assignments Practice Location: Po Box 32569, Knoxville, TN 37930 Phone: 865-694-0062 Fax: 865-694-7907 | |
Volunteer Podiatry Podiatrist Medicare: Medicare Enrolled Practice Location: 501 19th St Ste 601, Knoxville, TN 37916 Phone: 865-523-5655 Fax: 865-523-4882 | |
Associated Podiatry Of Knoxville Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4313 Ball Camp Pike, Ste 201, Knoxville, TN 37921 Phone: 865-540-8188 Fax: 865-540-1006 | |
Dr. David Michael Velarde, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2824 Merchants Dr, Knoxville, TN 37912 Phone: 865-523-1141 Fax: 865-521-6635 | |
Faculty Physicians Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1415 Old Weisgarber Rd Ste 350, Knoxville, TN 37909 Phone: 865-588-1605 Fax: 865-588-1608 |