John Maxwell Cooper, DPM | |
4640 W Lloyd Expy, Evansville, IN 47712-6517 | |
(812) 422-4336 | |
Not Available |
Full Name | John Maxwell Cooper |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 6 Years |
Location | 4640 W Lloyd Expy, Evansville, Indiana |
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 |
---|---|---|---|
1023514395 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 07001360A (Indiana) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (Virginia) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
First Podiatry, Pc | 8325031842 | 2 |
Provider Name | First Podiatry, Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1093732844 PECOS PAC ID: 8325031842 Enrollment ID: O20040408000211 |
Mailing Address | Practice Location Address |
---|---|
John Maxwell Cooper, DPM Po Box 3276, Evansville, IN 47731-3276 Ph: (812) 473-0181 | John Maxwell Cooper, DPM 4640 W Lloyd Expy, Evansville, IN 47712-6517 Ph: (812) 422-4336 |
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