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ANDREW D COOPER MD PC NPI 1073773107


NPI Information

NPI: 1073773107
Provider Name: ANDREW D COOPER MD PC

Other Name: COMPREHENSIVE ORTHOPEDIC SPECIALISTS, LLC

Classification: Orthopaedic Surgery - 207XX0005X
Entity Type: Organization

Specialization: Sports Medicine

CLIA Number: 46D2168842

Address:
82 S 1100 E
SUITE 303
SALT LAKE CITY, UT
ZIP 84102
Phone: (801) 533-2002
Get Directions

ANDREW D COOPER MD PC is a sports medicine orthopaedic surgery in Salt Lake City, UT. The provider is an orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. ANDREW D COOPER MD PC NPI is 1073773107. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Comprehensive Orthopedic Specialists, Llc.

The provider's business location address is:

82 S 1100 E
SUITE 303
SALT LAKE CITY, UT
ZIP 84102-686
Phone: (801) 533-2002
Fax: (801) 323-9546

The provider's authorized official is Merilyn Harris .
The authorized official title is Office Manager and has the following contact phone number (801) 533-2002.

The CLIA number assigned to this NPI record is 46D2168842 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/12/2008 and was last updated on 6/12/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XX0005XOrthopaedic SurgerySports MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000012750MEDICARE PINUTAH
2I22061MEDICARE UPINUTAH
3529371393001MEDICAIDUTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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