Michael Cooperstock
Pediatrician Pediatric Infectious Diseases
404 N Keene St
Columbia
, Missouri 65201-6626
Michael Cooperstock
Pediatrician Pediatric Infectious Diseases
404 N Keene St
Columbia
, Missouri 65201-6626
(573) 884-0943
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About
Features
Specialties
- Pediatrician
- Pediatric Infectious Diseases
Languages spoken
- English
Location
First Address
- Michael Cooperstock
- Po Box 843966
- Kansas City, MO
- Zip : 64184-3966
- Fax : (573) 884-0943
- Phone : (573) 882-3974
Second Address
- Michael Cooperstock
- 404 N Keene St
- Columbia, MO
- Zip : 65201-6626
- Phone : (573) 882-6921
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | R5666 | MO |
| Y | 2080P0208X | Pediatric Infectious Diseases | R5666 | MO |
National Provider Identifier
| NPI | 1497701023 |
|---|---|
| Provider Name | Michael Cooperstock |
| First Address | Kansas City, MO 64184-3966 |
| Second Address | Columbia, MO 65201-6626 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/05/2006 |
| Last Update Date | 17/03/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 102434 | HEALTHLINK (01) | MO |
| 11588 | BLUE CHOICE (01) | MO |
| 11588 | BLUE SHIELD (01) | MO |
| 200527802 | (05) | MO |
| 2086988101 | KANSAS MEDICAID (01) | MO |
| 9209005 | UNITED HEALTHCARE (01) | MO |
| A12970 | (02) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.